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General NPI Number Information
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NPI Number | 1912242900
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Entity Type | Organization
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Legal Business Name | FAIRFIELD WOMEN'S HEALTH CENTER, LLC
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Dates
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Enumeration Date | 12/03/2012
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Last Update Date | 12/03/2012
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Provider Practice Location Address
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Address Line | 140 SHERMAN ST 5TH FLOOR
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-658-8291
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Fax |
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Provider Business Mailing Address
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Address Line | 140 SHERMAN ST 5TH FLOOR
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City | FAIRFIELD
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State | CT
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Zip | 06824-5849
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Country | US
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Telephone | 203-658-8291
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LISA GEER-YAN
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Credential | M.D.
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Telephone | 203-658-8291
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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 | 047058
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License Number State | CT
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