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General NPI Number Information
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NPI Number | 1326371709
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Entity Type | Organization
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Legal Business Name | OPTIMA WOMEN'S HEALTHCARE, PLLC
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Dates
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Enumeration Date | 09/16/2009
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Last Update Date | 09/16/2009
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Provider Practice Location Address
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Address Line | 9399 CROWN CREST BLVD SUITE 450
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City | PARKER
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State | CO
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Zip | 80138
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Country | US
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Telephone | 303-805-1807
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Fax | 303-595-5390
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Provider Business Mailing Address
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Address Line | PO BOX 100617
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City | DENVER
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State | CO
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Zip | 80250-0617
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Country | US
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Telephone | 303-805-1807
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Fax | 303-595-5390
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. VANDNA JERATH
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Credential | M.D.
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Telephone | 303-777-8078
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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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