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General NPI Number Information
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NPI Number | 1003981580
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Entity Type | Organization
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Legal Business Name | CROWN MOUNTAIN WOMEN'S HEALTH
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1298 S CHESTATEE
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City | DAHLONEGA
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State | GA
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Zip | 30533-5530
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Country | US
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Telephone | 706-864-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1298 S CHESTATEE
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City | DAHLONEGA
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State | GA
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Zip | 30533-5530
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Country | US
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Telephone | 706-864-3400
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | AMBER CHRISTINE FRENCH
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Credential | D.O.
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Telephone | 706-864-3400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 054210
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License Number State | GA
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