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General NPI Number Information
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NPI Number | 1942475793
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Entity Type | Organization
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Legal Business Name | MEDICAL CARE FOR WOMEN, PC
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 07/06/2011
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Provider Practice Location Address
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Address Line | 2322 30TH RD SUITE #1H
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City | ASTORIA
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State | NY
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Zip | 11102-3200
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Country | US
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Telephone | 718-278-0888
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Fax | 718-278-0122
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Provider Business Mailing Address
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Address Line | 2322 30TH RD SUITE #1H
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City | ASTORIA
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State | NY
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Zip | 11102-3200
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Country | US
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Telephone | 718-278-0888
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Fax | 718-278-0122
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANDREA DESPINA OLANESCU
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Credential | MD
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Telephone | 718-278-0888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 214058
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License Number State | NY
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