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General NPI Number Information
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NPI Number | 1558445981
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Entity Type | Organization
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Legal Business Name | WOMENS WELLNESS INSTITUTE PLLC
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 2401 16TH STREET
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City | MERIDIAN
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State | MS
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Zip | 39301-2123
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Country | US
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Telephone | 601-482-4181
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 16TH STREET
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City | MERIDIAN
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State | MS
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Zip | 39301-2123
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Country | US
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Telephone | 601-482-4181
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Fax |
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Authorized Official
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Title or Position | OWNER/OFFICER
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Name | URELAINE R SIMON
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Credential | M.D.
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Telephone | 601-482-4181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R876229
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License Number State | MS
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Taxonomy #3
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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