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General NPI Number Information
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NPI Number | 1376874958
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH ENTERPRISE, INC
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 01/21/2010
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Provider Practice Location Address
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Address Line | 634 MCDONOUGH BLVD SE
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City | ATLANTA
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State | GA
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Zip | 30315-4424
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Country | US
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Telephone | 404-635-1300
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Fax | 404-635-1320
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Provider Business Mailing Address
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Address Line | 634 MCDONOUGH BLVD SE
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City | ATLANTA
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State | GA
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Zip | 30315-4424
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Country | US
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Telephone | 404-635-1300
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Fax | 404-635-1320
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DOROTHY K GALLAWAY
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Credential | CFNP
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Telephone | 404-635-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN058116NP
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License Number State | GA
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