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General NPI Number Information
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NPI Number | 1568659704
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Entity Type | Organization
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Legal Business Name | CENTER FOR WOMENS HEALTH AND REPRODUCTIVE MEDICINE LLC
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 1023 MEDICAL CENTER PKWY SUITE 301
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City | SELMA
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State | AL
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Zip | 36701-6780
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Country | US
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Telephone | 615-646-5806
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Fax | 615-646-3435
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Provider Business Mailing Address
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Address Line | 1023 MEDICAL CENTER PKWY SUITE 301
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City | SELMA
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State | AL
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Zip | 36701-6780
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Country | US
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Telephone | 615-646-5806
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Fax | 615-646-3435
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEORGE ALLEN WILLIAMS
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Credential | MD
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Telephone | 615-646-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 28403
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License Number State | AL
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