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General NPI Number Information
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NPI Number | 1477837771
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTHCARE FOR WOMEN PLLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 09/23/2022
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Provider Practice Location Address
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Address Line | 1045 JADWIN AVE
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City | RICHLAND
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State | WA
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Zip | 99352-3405
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Country | US
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Telephone | 509-392-6700
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Fax | 509-392-6699
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Provider Business Mailing Address
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Address Line | 1045 JADWIN AVE
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City | RICHLAND
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State | WA
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Zip | 99352-3405
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Country | US
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Telephone | 509-392-6700
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Fax | 509-392-6699
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD CARMEN LORENZO JR.
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Credential | D.O.
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Telephone | 509-392-6700
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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 | OP60104325
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License Number State | WA
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