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General NPI Number Information
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NPI Number | 1053520502
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Entity Type | Organization
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Legal Business Name | WOMEN'S CLINIC OF ALEXANDRIA LLP
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 501 MEDICAL CENTER DRIVE STE 300
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City | ALEXANDRIA
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State | VA
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Zip | 71301-8124
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Country | US
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Telephone | 318-443-6336
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Fax | 318-445-1597
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Provider Business Mailing Address
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Address Line | 501 MEDICAL CENTER DRIVE BOX 30114
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City | ALEXANDRIA
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State | VA
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Zip | 71301-8124
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Country | US
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Telephone | 318-443-6336
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Fax | 318-445-1597
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | DR. GORDON S BOWERS
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Credential | JR
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Telephone | 318-443-6336
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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 |
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License Number State |
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