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General NPI Number Information
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NPI Number | 1548066491
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Entity Type | Organization
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Legal Business Name | FEMME MED & SPA
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Dates
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Enumeration Date | 02/21/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5015 W JEFFERSON BLVD
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City | FORT WAYNE
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State | IN
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Zip | 46804-6803
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Country | US
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Telephone | 260-252-4080
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Fax |
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Provider Business Mailing Address
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Address Line | 3144 BREYERTON CV
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City | FORT WAYNE
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State | IN
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Zip | 46814-0002
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MD
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Name | ASHLEY SCOTT
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Credential | MD
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Telephone | 219-263-9340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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