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General NPI Number Information
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NPI Number | 1063036101
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Entity Type | Organization
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Legal Business Name | INTEGRITY WOMEN'S HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 06/04/2020
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Last Update Date | 04/21/2022
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Provider Practice Location Address
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Address Line | 324 SW 7TH ST STE B
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City | NEWPORT
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State | OR
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Zip | 97365-4900
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Country | US
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Telephone | 541-265-4253
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Fax | 541-237-1093
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Provider Business Mailing Address
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Address Line | 324 SW 7TH ST STE B
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City | NEWPORT
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State | OR
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Zip | 97365-4900
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Country | US
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Telephone | 541-265-4253
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Fax | 541-237-1093
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Authorized Official
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Title or Position | OWNER/PHYSICIAN PARTNER
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Name | DR. JONATHAN KALE GAVIN SHUMATE
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Credential | MD
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Telephone | 425-420-7278
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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