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General NPI Number Information
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NPI Number | 1982762696
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Entity Type | Organization
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Legal Business Name | BRANDYWINE WOMENS HEALTH ASSOCIATES
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 06/13/2011
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Provider Practice Location Address
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Address Line | 611 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4707
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Country | US
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Telephone | 302-658-3331
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Fax | 302-658-9306
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Provider Business Mailing Address
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Address Line | 611 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-4707
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Country | US
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Telephone | 302-658-3331
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Fax | 302-658-9306
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. GWENN KING
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Credential |
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Telephone | 302-658-3331
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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 | DE
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