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General NPI Number Information
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NPI Number | 1457457673
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Entity Type | Organization
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Legal Business Name | WOMENS PHYSICIANS, LLC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 207 SPARKS AVE SUITE 300
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3739
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Country | US
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Telephone | 812-280-5890
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Fax | 812-280-5893
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Provider Business Mailing Address
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Address Line | 207 SPARKS AVE SUITE 300
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3739
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Country | US
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Telephone | 812-280-5890
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Fax | 812-280-5893
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MRS. CONNIE L LEFFLER
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Credential |
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Telephone | 812-280-5890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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