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General NPI Number Information
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NPI Number | 1023222015
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH & WELLNESS LLC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 77 STARBRUSH CIRCLE
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-893-0995
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Fax | 985-893-8910
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Provider Business Mailing Address
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Address Line | 77 STARBRUSH CIRCLE
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City | COVINGTON
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State | LA
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Zip | 70433
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Country | US
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Telephone | 985-893-0995
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Fax | 985-893-8910
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MRS. VICKI L STEEN
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Credential | M.D.
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Telephone | 985-893-0995
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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 | 022161
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License Number State | LA
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