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General NPI Number Information
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NPI Number | 1871992644
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Entity Type | Organization
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Legal Business Name | PARKWAY WOMEN'S CARE, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 488 E VALLEY PKWY STE 107
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City | ESCONDIDO
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State | CA
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Zip | 92025-3363
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Country | US
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Telephone | 760-432-8800
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Fax | 760-432-8105
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Provider Business Mailing Address
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Address Line | 488 E VALLEY PKWY STE 107
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City | ESCONDIDO
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State | CA
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Zip | 92025-3363
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Country | US
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Telephone | 760-432-8800
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Fax | 760-432-8105
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Authorized Official
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Title or Position | PRESIDENT
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Name | GREGORY LANGFORD
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Credential | M.D.
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Telephone | 760-432-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G59011
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License Number State | CA
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