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General NPI Number Information
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NPI Number | 1922424779
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMEN CARE MEDICAL CORPORATION
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 2500 ALTON PKWY 100
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City | IRVINE
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State | CA
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Zip | 92606-5024
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Country | US
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Telephone | 949-261-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 ALTON PKWY 100
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City | IRVINE
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State | CA
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Zip | 92606-5024
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Country | US
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Telephone | 949-261-7546
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YEN TRAN
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Credential | DO
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Telephone | 949-261-7546
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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 | 20A12726
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License Number State | CA
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