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General NPI Number Information
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NPI Number | 1477816981
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Entity Type | Organization
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Legal Business Name | CHEAHA WOMEN'S HEALTH AND WELLNESS LLC
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Dates
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Enumeration Date | 06/19/2012
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Last Update Date | 06/19/2012
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Provider Practice Location Address
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Address Line | 171 TOWN CENTER DR
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City | ANNISTON
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State | AL
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Zip | 36205-4101
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Country | US
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Telephone | 236-400-1061
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2610
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City | ANNISTON
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State | AL
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Zip | 36202-2610
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Country | US
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Telephone | 256-400-1061
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. JOSHUA B JOHANNSON
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Credential | M.D.
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Telephone | 256-400-1061
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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 | MD31286
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License Number State | AL
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