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General NPI Number Information
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NPI Number | 1508626359
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Entity Type | Organization
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Legal Business Name | WOMEN'S SPECIALTY GROUP, PLLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 2900 MEDICAL CENTER PKWY STE 380
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City | BENTONVILLE
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State | AR
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Zip | 72712-3214
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Country | US
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Telephone | 479-553-3340
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Fax | 479-553-1964
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Provider Business Mailing Address
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Address Line | 2900 MEDICAL CENTER PKWY STE 380
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City | BENTONVILLE
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State | AR
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Zip | 72712-3214
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Country | US
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Telephone | 479-553-3340
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Fax | 479-553-1964
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MISTI MCCOY
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Credential |
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Telephone | 479-553-3340
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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 |
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License Number State |
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