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General NPI Number Information
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NPI Number | 1902964364
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH ALLIANCE LLC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 142 HWY 35 STE 105
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City | EATONTOWN
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State | NJ
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Zip | 07724-3427
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Country | US
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Telephone | 732-935-0700
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Fax | 732-935-0731
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Provider Business Mailing Address
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Address Line | 142 HIGHWAY 35 SUITE 105
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City | EATONTOWN
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State | NJ
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Zip | 07724
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Country | US
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Telephone | 732-935-0700
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Fax | 732-935-0731
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. ANU CHAKRABORTY
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Credential | MD
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Telephone | 732-935-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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