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General NPI Number Information
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NPI Number | 1568629186
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH AMERICA
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1289 DEMING WAY
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City | MADISON
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State | WI
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Zip | 53717-2007
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Country | US
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Telephone | 800-558-7046
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Fax | 888-898-7412
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Provider Business Mailing Address
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Address Line | 1289 DEMING WAY
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City | MADISON
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State | WI
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Zip | 53717-2007
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Country | US
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Telephone | 800-558-7046
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Fax | 888-898-7412
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MS. LISA KOPIC
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Credential |
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Telephone | 800-558-7046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 52D0994567
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License Number State | WI
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