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General NPI Number Information
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NPI Number | 1548487143
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Entity Type | Organization
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Legal Business Name | WOMEN AND CHILDREN'S CLINIC OF LITTLE COMPANY OF MARY
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1403 LOMITA BLVD STE 100
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City | HARBOR CITY
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State | CA
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Zip | 90710-2076
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Country | US
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Telephone | 310-784-5800
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Fax | 310-530-9811
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Provider Business Mailing Address
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Address Line | 1403 LOMITA BLVD STE 100
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City | HARBOR CITY
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State | CA
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Zip | 90710-2076
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Country | US
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Telephone | 310-784-5800
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Fax | 310-530-9811
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | FRANCESCA F WACHS
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Credential |
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Telephone | 310-793-8074
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State | CA
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