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General NPI Number Information
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NPI Number | 1053417915
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH PARTNERS, LLC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4141 NORTHHAMPTON DR SUITE 101
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City | POWELL
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State | OH
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Zip | 43065-7061
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Country | US
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Telephone | 740-368-5044
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Fax | 740-368-5283
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Provider Business Mailing Address
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Address Line | PO BOX 1022
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City | POWELL
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State | OH
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Zip | 43065-1022
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Country | US
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Telephone | 740-368-5044
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Fax | 740-368-5283
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SANDRA DELANE BERGMAN
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Credential |
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Telephone | 740-368-5044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35051529
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License Number State | OH
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