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General NPI Number Information
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NPI Number | 1558452995
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Entity Type | Organization
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Legal Business Name | WOMEN'S CARE CENTER PA
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 500 S UNIVERSITY AVE SUITE 712
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5302
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Country | US
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Telephone | 501-280-9500
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Fax | 501-280-9359
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Provider Business Mailing Address
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Address Line | 500 S UNIVERSITY AVE SUITE 712
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City | LITTLE ROCK
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State | AR
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Zip | 72205-5302
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Country | US
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Telephone | 501-280-9500
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Fax | 501-280-9359
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Authorized Official
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Title or Position | OWNER/DR
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Name | DR. FRED EARL NEWTON
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Credential | M.D.
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Telephone | 501-280-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C-7131
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License Number State | AR
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