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General NPI Number Information
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NPI Number | 1336193481
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Entity Type | Organization
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Legal Business Name | WOMEN'S SPECIALTY CENTER, LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 501 MARSHALL STREET SUITE 600
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City | JACKSON
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State | MS
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Zip | 39202-1650
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Country | US
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Telephone | 601-948-6540
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Fax | 601-326-1501
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Provider Business Mailing Address
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Address Line | 501 MARSHALL STREET SUITE 600
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City | JACKSON
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State | MS
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Zip | 39202-1650
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Country | US
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Telephone | 601-948-6540
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Fax | 601-326-1501
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | JULIE G. FERGUSON
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Credential |
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Telephone | 601-948-6540
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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Taxonomy #5
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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 |
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