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General NPI Number Information
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NPI Number | 1063615813
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH SERVICES
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6468 FARMDALE RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1330
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Country | US
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Telephone | 304-302-7777
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Fax | 304-302-2689
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Provider Business Mailing Address
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Address Line | 6468 FARMDALE RD
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City | BARBOURSVILLE
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State | WV
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Zip | 25504-1330
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Country | US
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Telephone | 304-302-7777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JULIE R BREWER
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Credential | ARNP
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Telephone | 304-302-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 56
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License Number State | WV
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