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General NPI Number Information
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NPI Number | 1194276709
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Entity Type | Organization
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Legal Business Name | SUMMIT WOMEN'S CARE
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Dates
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Enumeration Date | 10/18/2016
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 6120 MAE ANNE AVE STE 1
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City | RENO
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State | NV
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Zip | 89523-4706
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Country | US
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Telephone | 775-997-8848
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Fax |
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Provider Business Mailing Address
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Address Line | 6120 MAE ANNE AVE STE 1
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City | RENO
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State | NV
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Zip | 89523-4706
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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 | MANAGER
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Name | CHELSEA HART
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Credential |
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Telephone | 775-238-4254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 13357
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License Number State | NV
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