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General NPI Number Information
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NPI Number | 1891002309
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Entity Type | Organization
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Legal Business Name | PARTNERS IN WOMEN'S HEALTH II, LLC
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Dates
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Enumeration Date | 09/03/2010
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Last Update Date | 04/17/2014
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Provider Practice Location Address
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Address Line | 3840 WOODLEY RD SUITE B
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City | TOLEDO
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State | OH
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Zip | 43606-1175
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Country | US
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Telephone | 419-474-2300
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Fax | 419-474-2302
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Provider Business Mailing Address
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Address Line | 3840 WOODLEY RD SUITE B
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City | TOLEDO
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State | OH
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Zip | 43606-1175
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Country | US
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Telephone | 419-474-2300
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Fax | 419-474-2302
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Authorized Official
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Title or Position | CEO
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Name | TESS M GORDON
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Credential | MD
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Telephone | 419-474-2300
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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 | 35083886
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License Number State | OH
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