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General NPI Number Information
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NPI Number | 1043492929
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Entity Type | Organization
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Legal Business Name | THE COMPLETE WOMEN'S GROUP, PC
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Dates
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Enumeration Date | 12/03/2007
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Last Update Date | 01/30/2014
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Provider Practice Location Address
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Address Line | 1136 CLEVELAND AVE 317
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City | EAST POINT
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State | GA
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Zip | 30344
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Country | US
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Telephone | 404-964-8468
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 88602
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City | ATLANTA
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State | GA
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Zip | 30356
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Country | US
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Telephone | 404-964-8468
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LILITH R WHYTE
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Credential | M.D.
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Telephone | 404-964-8468
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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 | 049019
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License Number State | GA
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