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General NPI Number Information
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NPI Number | 1306957030
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH ASSOCIATION OF TITUSVILLE
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 602 W CENTRAL AVE
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City | TITUSVILLE
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State | PA
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Zip | 16354-2152
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Country | US
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Telephone | 814-827-7229
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Fax | 814-827-4869
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Provider Business Mailing Address
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Address Line | 602 W CENTRAL AVE
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City | TITUSVILLE
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State | PA
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Zip | 16354-2152
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Country | US
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Telephone | 814-827-7229
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Fax | 814-827-4869
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Authorized Official
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Title or Position | MD
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Name | RUTHELLEN DENISE WEEKS
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Credential | MD
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Telephone | 814-827-7229
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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 | 044541L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 029120E
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License Number State | PA
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