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General NPI Number Information
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NPI Number | 1437937620
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Entity Type | Organization
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Legal Business Name | LA CLINIQUE MOLIERE BIRTHPLACE AND WOMEN S WELLNESS CORPORATION
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 2114 N WRIGHT ST
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City | SANTA ANA
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State | CA
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Zip | 92705-7159
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Country | US
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Telephone | 404-326-8422
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 N WRIGHT ST
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City | SANTA ANA
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State | CA
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Zip | 92705-7159
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Country | US
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Telephone | 404-326-8422
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHELLE MOLIERE
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Credential | NP
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Telephone | 404-326-8422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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