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General NPI Number Information
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NPI Number | 1881628535
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Entity Type | Organization
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Legal Business Name | SOUTH SHORE WOMEN'S HEALTH, PC
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 10/01/2012
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Provider Practice Location Address
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Address Line | 90 LIBBEY PARKWAY SUITE 105
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City | S WEYMOUTH
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State | MA
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Zip | 02189
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Country | US
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Telephone | 339-201-4120
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Fax | 339-201-4122
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | S WEYMOUTH
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State | MA
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Zip | 02190
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Country | US
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Telephone | 339-201-4120
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Fax | 339-201-4122
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Authorized Official
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Title or Position | OFFICER
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Name | MARTHA EHRMANN
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Credential | MD
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Telephone | 339-201-4120
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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 |
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License Number State |
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