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General NPI Number Information
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NPI Number | 1447387519
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN WOMEN'S HEALTH CENTER, INC.
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 1580 W ANTELOPE DR STE 290
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City | LAYTON
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State | UT
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Zip | 84041-1179
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Country | US
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Telephone | 801-776-0880
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Fax | 801-773-7399
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Provider Business Mailing Address
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Address Line | PO BOX 844839
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City | DALLAS
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State | TX
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Zip | 75284-4839
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Country | US
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Telephone | 877-210-9143
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Fax | 314-432-9683
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Authorized Official
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Title or Position | COO
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Name | HOLDEN U HOLT
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Credential |
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Telephone | 801-776-0880
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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 |
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License Number State |
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