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General NPI Number Information
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NPI Number | 1184847063
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Entity Type | Organization
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Legal Business Name | NEW HORIZON WOMEN'S CARE, LLC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 10/23/2007
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Provider Practice Location Address
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Address Line | 1675 N FREEDOM BLVD SUITE 3
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City | PROVO
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State | UT
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Zip | 84604-2540
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Country | US
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Telephone | 801-374-1010
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Fax | 801-395-0097
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Provider Business Mailing Address
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Address Line | PO BOX 50745
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City | PROVO
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State | UT
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Zip | 84605-0745
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Country | US
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Telephone | 801-352-9500
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Fax | 801-352-9502
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Authorized Official
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Title or Position | OWNER
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Name | BRET WOODS
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Credential |
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Telephone | 801-400-2050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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