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General NPI Number Information
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NPI Number | 1225085798
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CARE CONSULTANTS MEDICAL GROUP, INCORPORATED
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 02/25/2008
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Provider Practice Location Address
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Address Line | 6444 COYLE AVE SUITE 2
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City | CARMICHAEL
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State | CA
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Zip | 95608-0305
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Country | US
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Telephone | 916-536-5022
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Fax | 916-965-9205
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Provider Business Mailing Address
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Address Line | 6444 COYLE AVE SUITE 2
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City | CARMICHAEL
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State | CA
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Zip | 95608-0305
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Country | US
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Telephone | 916-536-5022
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Fax | 916-965-9205
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DR. SIMON MICHAEL YASSEAR
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Credential | M.D.
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Telephone | 916-965-5500
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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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