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General NPI Number Information
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NPI Number | 1356528806
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Entity Type | Organization
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Legal Business Name | WOMEN'S MEDICAL ASSOCIATES OF NORTH TEXAS
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Dates
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Enumeration Date | 01/28/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 1105 CENTRAL EXPY N SUITE 310
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City | ALLEN
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State | TX
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Zip | 75013-6103
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Country | US
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Telephone | 972-747-4848
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Fax | 972-747-4949
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Provider Business Mailing Address
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Address Line | P.O. BOX 1510
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City | MCKINNEY
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State | TX
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Zip | 75069
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Country | US
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Telephone | 972-747-4848
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Fax | 972-747-4949
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRUCE W. RAJALA
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Credential | D.O.
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Telephone | 972-747-4848
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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 | H5352
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License Number State | TX
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