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General NPI Number Information
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NPI Number | 1336213230
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Entity Type | Organization
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Legal Business Name | THE WOMAN'S PLACE FOR HEALTH, INC.
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 06/20/2008
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Provider Practice Location Address
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Address Line | 3901 LAS POSAS RD SUITE 207
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City | CAMARILLO
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State | CA
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Zip | 93010-1506
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Country | US
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Telephone | 805-987-6807
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Fax | 805-987-9197
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Provider Business Mailing Address
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Address Line | 3901 LAS POSAS RD SUITE 207
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City | CAMARILLO
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State | CA
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Zip | 93010-1506
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Country | US
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Telephone | 805-987-6807
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Fax | 805-987-9197
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JUDY HARRISON
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Credential |
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Telephone | 805-987-6807
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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 | G52027
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License Number State | CA
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