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General NPI Number Information
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NPI Number | 1013940428
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Entity Type | Organization
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Legal Business Name | WEST ATLANTA WOMEN'S HEALTH, LLC
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Dates
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Enumeration Date | 07/09/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 3903 S COBB DR SE #230
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City | SMYRNA
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State | GA
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Zip | 30080-6342
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Country | US
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Telephone | 770-444-9981
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 BRECKINRIDGE BLVD SUITE 120
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City | DULUTH
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State | GA
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Zip | 30096-7611
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Country | US
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Telephone | 678-226-0082
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | KALPANA J RAGHAVAN
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Credential | MD
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Telephone | 770-444-9981
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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 | 038920
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License Number State | GA
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