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General NPI Number Information
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NPI Number | 1295915346
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Entity Type | Organization
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Legal Business Name | NATURAL WOMENS HEALTH LLC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 08/12/2011
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Provider Practice Location Address
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Address Line | 4550 EUBANK BLVD NE STE 105
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-3479
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Country | US
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Telephone | 505-296-1120
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Fax | 505-296-0718
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Provider Business Mailing Address
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Address Line | 4550 EUBANK BLVD NE STE 105
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City | ALBUQUERQUE
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State | NM
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Zip | 87111-2565
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Country | US
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Telephone | 505-296-1120
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Fax | 505-296-0718
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. JEANETTE WEILER
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Credential | CPC
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Telephone | 505-433-2755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | R17788
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | R17788
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License Number State | NM
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