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General NPI Number Information
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NPI Number | 1144339953
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMEN'S HEALTHCARE, A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 57463 29 PALMS HWY STE 203
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2925
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Country | US
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Telephone | 760-327-7900
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Fax | 760-327-7905
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Provider Business Mailing Address
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Address Line | 41990 COOK ST STE H701
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City | PALM DESERT
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State | CA
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Zip | 92211-6103
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Country | US
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Telephone | 760-327-7900
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Fax | 760-327-7905
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Authorized Official
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Title or Position | VICE PRESIDENT & CFO
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Name | JOLYN FERGON
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Credential | C.N.M.
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Telephone | 760-327-7900
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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 | A86905
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License Number State | CA
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