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General NPI Number Information
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NPI Number | 1215165444
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Entity Type | Organization
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Legal Business Name | JOHN O. WOMACH, M.D., INC.
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 06/25/2009
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Provider Practice Location Address
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Address Line | 1995 ZINFANDEL DR STE 204
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2862
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Country | US
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Telephone | 916-638-1995
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Fax | 916-638-2514
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Provider Business Mailing Address
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Address Line | 1995 ZINFANDEL DR STE 204
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City | RANCHO CORDOVA
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State | CA
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Zip | 95670-2862
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Country | US
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Telephone | 916-638-1995
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Fax | 916-638-2514
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN O. WOMACH
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Credential | M.D.
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Telephone | 916-638-1995
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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 | G24835
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License Number State | CA
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