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General NPI Number Information
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NPI Number | 1972263226
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Entity Type | Organization
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Legal Business Name | NEW EVE FERTILITYCARE CENTER
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Dates
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Enumeration Date | 12/28/2021
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 510 TROUT AVENUE
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City | LIGONIER
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State | PA
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Zip | 15658
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Country | US
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Telephone | 724-610-8735
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Fax |
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Provider Business Mailing Address
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Address Line | 510 TROUT AVENUE
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City | LIGONIER
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State | PA
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Zip | 15658
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Country | US
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Telephone | 724-610-8735
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Fax |
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Authorized Official
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Title or Position | FERTILITYCARE PRACTITIONER
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Name | MICHELLE RENEE PARRISH
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Credential | BSN, RN, FCP
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Telephone | 724-610-8735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number |
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License Number State |
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