=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063461580
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNDERSTANDING WOMEN PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/10/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1008 E MCDOWELL RD
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-393-0661
-----------------------------------------------------
Fax | 602-254-3474
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1008 E MCDOWELL RD
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85006
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-393-0661
-----------------------------------------------------
Fax | 602-254-3474
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | BILLING CREDENTIALING
-----------------------------------------------------
Name | ANDREA R DUARTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 602-393-0661
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207V00000X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Physician
-----------------------------------------------------
License Number | 23505
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------