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General NPI Number Information
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NPI Number | 1164554697
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Entity Type | Organization
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Legal Business Name | DUMAS WOMEN'S HEALTH CENTER
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 11/10/2012
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Provider Practice Location Address
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Address Line | 110 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-3804
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Country | US
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Telephone | 806-935-6599
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Fax | 806-934-3343
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Provider Business Mailing Address
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Address Line | 110 S BLISS AVE
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City | DUMAS
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State | TX
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Zip | 79029-3804
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Country | US
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Telephone | 806-935-6599
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Fax | 806-934-3343
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. BECKY RODRIGUEZ
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Credential |
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Telephone | 806-935-6599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 625319
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G7782
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License Number State | TX
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