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General NPI Number Information
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NPI Number | 1205525821
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Entity Type | Organization
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Legal Business Name | PALMDALE WOMEN S HEALTH PHYSICIAN GROUP INC
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Dates
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Enumeration Date | 05/01/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 41250 12TH ST W STE B
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City | PALMDALE
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State | CA
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Zip | 93551-1444
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Country | US
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Telephone | 661-499-2720
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Fax | 661-499-2721
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Provider Business Mailing Address
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Address Line | 41250 12TH ST W STE B
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City | PALMDALE
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State | CA
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Zip | 93551-1444
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Country | US
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Telephone | 661-499-2720
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Fax | 661-499-2721
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NICHOLAS A ROGERS
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Credential | MD
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Telephone | 213-538-8995
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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 |
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License Number State |
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