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General NPI Number Information
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NPI Number | 1336181114
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Entity Type | Organization
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Legal Business Name | WOMEN'S SPECIALTY CARE
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1501 N BICKETT BLVD SUITE D
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City | LOUISBURG
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State | NC
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Zip | 27549-2178
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Country | US
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Telephone | 919-496-1054
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Fax | 919-496-2509
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Provider Business Mailing Address
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Address Line | 1501 N BICKETT BLVD SUITE D
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City | LOUISBURG
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State | NC
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Zip | 27549-2178
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Country | US
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Telephone | 919-496-1054
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Fax | 919-496-2509
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | PATTY HENRICH
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Credential |
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Telephone | 919-256-1675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | NC
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