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General NPI Number Information
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NPI Number | 1508294018
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Entity Type | Organization
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Legal Business Name | PINK WOMEN'S CENTER PA
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 12/03/2016
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Provider Practice Location Address
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Address Line | 23960 KATY FWY STE 350
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City | KATY
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State | TX
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Zip | 77494-0885
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Country | US
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Telephone | 713-464-1845
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 218923
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City | HOUSTON
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State | TX
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Zip | 77218-8923
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Country | US
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Telephone | 713-464-1845
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOEL RIVERA JIMENEZ
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Credential | MD
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Telephone | 713-464-1845
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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 | P3426
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License Number State | TX
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