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General NPI Number Information
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NPI Number | 1477729754
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Entity Type | Organization
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Legal Business Name | LITHIA WOMEN'S HEALTHCARE LLC
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Dates
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Enumeration Date | 05/06/2008
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 725 N. MAIN ST.
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City | ASHLAND
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State | OR
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Zip | 97520-1752
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Country | US
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Telephone | 541-482-6060
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Fax | 541-482-0187
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Provider Business Mailing Address
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Address Line | 1208 BEALL LN
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City | CENTRAL POINT
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State | OR
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Zip | 97502-1573
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Country | US
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Telephone | 541-664-5151
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Fax | 877-772-9433
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Authorized Official
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Title or Position | OWNER
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Name | DR. JULIE PEARSON
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Credential | M.D.
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Telephone | 541-482-6060
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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 | MD22222
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License Number State | OR
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