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General NPI Number Information
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NPI Number | 1205539913
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Entity Type | Organization
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Legal Business Name | ANTELOPE VALLEY WOMEN'S HEALTHCARE, INC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 607 W AVENUE Q STE A
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City | PALMDALE
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State | CA
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Zip | 93551-3872
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Country | US
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Telephone | 310-901-4714
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Fax | 310-436-0208
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Provider Business Mailing Address
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Address Line | PO BOX 1877
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City | HAWTHORNE
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State | CA
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Zip | 90251-1877
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Country | US
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Telephone | 310-901-4714
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Fax | 310-436-0208
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KALAMANI RACHEL DHARMA
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Credential | MD
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Telephone | 469-644-8672
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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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