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General NPI Number Information
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NPI Number | 1417089764
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Entity Type | Organization
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Legal Business Name | WOMENS AND CHILDRENS HEALTHCARE ASSOCIATES
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 57463 29 PALMS HWY SUITE 202
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2925
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Country | US
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Telephone | 760-365-0808
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Fax | 760-365-4545
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Provider Business Mailing Address
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Address Line | 57463 29 PALMS HWY SUITE 202
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2925
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Country | US
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Telephone | 760-365-0808
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Fax | 760-365-4545
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Authorized Official
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Title or Position | OWNER
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Name | MRS. GINA R MCELFISH
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Credential | CPNP
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Telephone | 760-365-0808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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