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General NPI Number Information
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NPI Number | 1922107812
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Entity Type | Organization
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Legal Business Name | ST. PETERSBURG WOMAN'S HEALTH CENTER
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3401 66TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-1540
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Country | US
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Telephone | 727-381-6620
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Fax | 727-341-0409
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Provider Business Mailing Address
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Address Line | 3401 66TH ST N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33710-1540
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Country | US
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Telephone | 727-381-6620
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Fax | 727-341-0409
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. GEORGE M NAUERT
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Credential | M.D.
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Telephone | 727-381-6620
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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 | FL
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