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General NPI Number Information
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NPI Number | 1336151372
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Entity Type | Organization
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Legal Business Name | TOTAL WOMAN OB/GYN, P.C.
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Dates
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Enumeration Date | 08/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 959 E 4TH ST
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City | MARION
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State | IN
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Zip | 46952-4079
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Country | US
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Telephone | 765-733-0051
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Fax | 765-733-0067
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Provider Business Mailing Address
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Address Line | 959 E 4TH ST
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City | MARION
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State | IN
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Zip | 46952-4079
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Country | US
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Telephone | 765-733-0051
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Fax | 765-733-0067
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Authorized Official
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Title or Position | OWNER
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Name | DEBRA LARKINS
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Credential | D.O.
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Telephone | 765-733-0051
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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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