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General NPI Number Information
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NPI Number | 1972502201
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Entity Type | Organization
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Legal Business Name | SALEM WOMEN'S CARE, INC
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Dates
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Enumeration Date | 07/19/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2094 E STATE ST STE B
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City | SALEM
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State | OH
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Zip | 44460-4409
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Country | US
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Telephone | 330-332-1989
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Fax | 330-332-2233
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Provider Business Mailing Address
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Address Line | 2094 E STATE ST STE B
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City | SALEM
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State | OH
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Zip | 44460-4409
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Country | US
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Telephone | 330-332-1989
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Fax | 330-332-2233
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Authorized Official
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Title or Position | BUSINESS SECRETARY/PHYSICIAN
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Name | MR. DAVID WILLIAM DRAKE
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Credential | D.O.
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Telephone | 880-382-1989
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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 | OH
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