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General NPI Number Information
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NPI Number | 1093846289
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Entity Type | Organization
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Legal Business Name | WEST PLANO OB GYN SPECIALISTS
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3801 W 15TH ST SUITE 270
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-964-5514
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Fax | 972-312-1476
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Provider Business Mailing Address
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Address Line | 3801 W 15TH ST SUITE 270
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City | PLANO
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State | TX
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Zip | 75075-4737
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Country | US
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Telephone | 972-964-5514
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Fax | 972-312-1476
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Authorized Official
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Title or Position | PARTNER
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Name | VANESSA WOOLRIDGE
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Credential | MD
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Telephone | 972-964-5514
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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 | J9448
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License Number State | TX
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