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General NPI Number Information
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NPI Number | 1114972346
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH ALLIANCE PA
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 209 E CARVER ST
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City | DURHAM
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State | NC
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Zip | 27704-2133
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Country | US
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Telephone | 919-471-2273
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Fax | 919-479-0881
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Provider Business Mailing Address
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Address Line | 209 E CARVER ST
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City | DURHAM
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State | NC
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Zip | 27704-2133
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Country | US
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Telephone | 919-471-2273
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Fax | 919-479-0881
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JUDY H GARRETT
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Credential |
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Telephone | 919-848-4080
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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 |
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License Number State |
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