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General NPI Number Information
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NPI Number | 1346784386
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Entity Type | Organization
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Legal Business Name | JUNIPER WOMEN'S HEALTH & WELLNESS, LLC
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Dates
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Enumeration Date | 12/09/2016
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 853 BYPASS 72 NW
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City | GREENWOOD
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State | SC
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Zip | 29649-1203
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Country | US
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Telephone | 864-519-0054
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Fax | 864-447-5707
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Provider Business Mailing Address
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Address Line | 1225 MONTAGUE AVENUE EXT
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City | GREENWOOD
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State | SC
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Zip | 29649-9027
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Country | US
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Telephone | 864-519-0054
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Fax | 864-447-5707
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Authorized Official
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Title or Position | CNM, APRN
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Name | JANET B GOFF
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Credential | CNM, APRN
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Telephone | 864-344-2783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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