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NPI 1124305438

NPI 1124305438 : WOMEN'S HEALTH OPTIONS : MUSCLE SHOALS, AL

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General NPI Number Information
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    NPI Number           |    1124305438
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    Entity Type          |    Organization 
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    Legal Business Name  |    WOMEN'S HEALTH OPTIONS 
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Dates
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    Enumeration Date     |    11/15/2011
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    Last Update Date     |    11/15/2011
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Provider Practice Location Address
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    Address Line         |    714 STATE ST 
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    City                 |    MUSCLE SHOALS
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    State                |    AL
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    Zip                  |    35661-2940
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    Country              |    US
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    Telephone            |    256-389-1966
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    Fax                  |    256-383-9649
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Provider Business Mailing Address
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    Address Line         |    PO BOX 895 
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    City                 |    SHEFFIELD
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    State                |    AL
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    Zip                  |    35660-0895
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CONTROLLER
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    Name                 |     CAROLYN  LEONARD 
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    Credential           |    
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    Telephone            |    256-386-4673
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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       |    1-031194
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    License Number State |    AL
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