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General NPI Number Information
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NPI Number | 1386561991
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Entity Type | Organization
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Legal Business Name | OM WOMEN'S HEALTH AND WELLNESS
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 11620 WILSHIRE BLVD STE 600
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City | LOS ANGELES
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State | CA
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Zip | 90025-1776
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Country | US
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Telephone | 310-922-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 10TH ST APT 7
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City | SANTA MONICA
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State | CA
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Zip | 90401-2811
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Country | US
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Telephone | 310-922-6883
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Fax |
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Authorized Official
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Title or Position | OWNER/CHIEF EXECUTIVE OFFICER
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Name | MS. MARIA PASTOR KNOLL
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Credential | CNM, APRN
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Telephone | 310-922-6883
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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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