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General NPI Number Information
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NPI Number | 1265959977
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Entity Type | Organization
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Legal Business Name | ALLCARE FOR WOMEN LLC
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 9053 S PECOS RD STE 2900
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City | HENDERSON
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State | NV
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Zip | 89074-7178
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Country | US
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Telephone | 702-852-3112
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Fax | 702-933-8705
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Provider Business Mailing Address
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Address Line | 1254 S FIREHOLE DR
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City | CHANDLER
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State | AZ
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Zip | 85286-1068
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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 | OWNER
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Name | CANDANCE LEAPHART-ST CLOUD
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Credential | DO
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Telephone | 702-852-3112
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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 | 13109
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License Number State | NV
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