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General NPI Number Information
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NPI Number | 1003868779
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Entity Type | Organization
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Legal Business Name | HANDES OF A WOMAN
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 58 ROY BEALL DR
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City | LUVERNE
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State | AL
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Zip | 36049-6800
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Country | US
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Telephone | 334-335-2095
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Fax | 334-335-2279
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Provider Business Mailing Address
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Address Line | PO BOX 176
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City | GREENVILLE
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State | AL
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Zip | 36037-0176
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Country | US
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Telephone | 334-335-2095
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Fax | 334-335-2279
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Authorized Official
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Title or Position | ACCOUNT MANAGER
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Name | LISA YVONNE PATTERSON
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Credential |
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Telephone | 937-298-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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