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General NPI Number Information
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NPI Number | 1326285461
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Entity Type | Organization
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Legal Business Name | TOTAL HEALTH TOTAL WOMAN, PLLC
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 540 NEW WAVERLY PL SUITE 106
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City | CARY
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State | NC
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Zip | 27518-7421
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Country | US
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Telephone | 919-858-0801
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Fax | 919-858-0804
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Provider Business Mailing Address
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Address Line | 540 NEW WAVERLY PL SUITE 106
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City | CARY
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State | NC
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Zip | 27518-7421
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Country | US
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Telephone | 919-858-0801
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Fax | 919-858-0804
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAMIRA S TAHTAWI
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Credential | M.D.
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Telephone | 919-858-0801
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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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