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General NPI Number Information
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NPI Number | 1073648580
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CARE CENTER, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 06/16/2010
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Provider Practice Location Address
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Address Line | 513 PINEY FOREST RD LOWER LEVEL
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City | DANVILLE
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State | VA
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Zip | 24540-3353
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Country | US
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Telephone | 434-792-1330
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Fax | 434-792-2924
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Provider Business Mailing Address
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Address Line | 513 PINEY FOREST RD LOWER LEVEL
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City | DANVILLE
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State | VA
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Zip | 24540-3353
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Country | US
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Telephone | 434-792-1330
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Fax | 434-792-2924
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Authorized Official
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Title or Position | OWNER
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Name | DR. LOUIS E ELIACIN
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Credential | M.D.
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Telephone | 434-792-1330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101041452
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License Number State | VA
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