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General NPI Number Information
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NPI Number | 1346230885
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH SPECIALISTS LLC
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 03/19/2013
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Provider Practice Location Address
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Address Line | 1901 LAFAYETTE RD STE 100
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933
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Country | US
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Telephone | 765-361-8586
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Fax | 765-364-8641
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Provider Business Mailing Address
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Address Line | 1901 LAFAYETTE RD STE 100
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City | CRAWFORDSVILLE
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State | IN
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Zip | 47933
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Country | US
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Telephone | 765-361-8586
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Fax | 765-364-8641
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. ARUN JAIN
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Credential | MD
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Telephone | 765-361-8586
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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 | 01047257A
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License Number State | IN
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