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General NPI Number Information
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NPI Number | 1942328182
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Entity Type | Organization
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Legal Business Name | NORWALK MATERNITY AND FAMILY MEDICAL CENTER INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11741 THE PLZ
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City | NORWALK
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State | CA
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Zip | 90650-3932
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Country | US
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Telephone | 562-406-8634
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Fax | 562-406-8635
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Provider Business Mailing Address
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Address Line | 11741 THE PLZ
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City | NORWALK
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State | CA
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Zip | 90650-3932
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Country | US
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Telephone | 562-406-8634
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Fax | 562-406-8635
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. IGNATIUS GODOY
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Credential | M.D.
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Telephone | 562-406-8634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 101630
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License Number State | CA
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