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General NPI Number Information
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NPI Number | 1275201063
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Entity Type | Organization
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Legal Business Name | WILLOW WOMENS HEALTH LLC
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Dates
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Enumeration Date | 09/06/2021
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 625 AFRICA RD STE 180
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City | WESTERVILLE
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State | OH
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Zip | 43082-9830
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Country | US
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Telephone | 614-768-7633
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Fax | 614-953-6768
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Provider Business Mailing Address
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Address Line | 15 SOUTHMOOR CIR NE
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City | KETTERING
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State | OH
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Zip | 45429-2451
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Country | US
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Telephone | 937-240-2100
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Fax | 937-240-2004
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAURA VALLE
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Credential | DNP, APRN-CNM
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Telephone | 614-768-7633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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