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General NPI Number Information
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NPI Number | 1891527073
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Entity Type | Organization
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Legal Business Name | LABOR OF LOVE GYNECOLOGY, LLC
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 9280 SILENT OAK CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6633
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Country | US
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Telephone | 786-355-1676
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Fax |
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Provider Business Mailing Address
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Address Line | 9280 SILENT OAK CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-6633
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Country | US
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Telephone | 786-355-1676
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Fax |
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Authorized Official
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Title or Position | OBSTETRICIAN/GYNECOLOGIST
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Name | DR. DIONE ANESTILA OCCENAD-NIMMO
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Credential | MD
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Telephone | 786-355-1676
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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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