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General NPI Number Information
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NPI Number | 1942380308
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CARE OF NE PA, PC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 110 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-2023
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Country | US
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Telephone | 570-253-3005
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Fax |
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Provider Business Mailing Address
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Address Line | 110 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-2023
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | JOAN MERCADO
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Credential |
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Telephone | 570-253-3005
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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 |
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