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General NPI Number Information
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NPI Number | 1912182999
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Entity Type | Organization
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Legal Business Name | TOWN CENTER WOMAN'S CARE PC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 23 KENNEDY ST SUITE 101
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City | BRADFORD
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State | PA
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Zip | 16701-2065
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Country | US
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Telephone | 814-368-1650
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Fax | 814-368-1654
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Provider Business Mailing Address
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Address Line | 23 KENNEDY ST SUITE 101
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City | BRADFORD
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State | PA
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Zip | 16701-2065
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Country | US
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Telephone | 814-368-1650
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Fax | 814-368-1654
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. FRANCIS BASSANI SR.
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Credential | D.O.
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Telephone | 814-368-1650
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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 | 0S009460L
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License Number State | PA
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