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General NPI Number Information
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NPI Number | 1578768701
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Entity Type | Organization
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Legal Business Name | NORTH TEXAS WOMENS HEALTH CARE ASSOCIATES P A
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 06/10/2008
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Provider Practice Location Address
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Address Line | 1141 KELLER PKWY SUITE A
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City | KELLER
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State | TX
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Zip | 76248-1627
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Country | US
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Telephone | 817-741-2601
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Fax | 817-745-2601
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Provider Business Mailing Address
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Address Line | 1141 KELLER PKWY SUITE A
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City | KELLER
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State | TX
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Zip | 76248-1627
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Country | US
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Telephone | 817-741-2601
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Fax | 817-745-2601
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. JOANN B PETIT
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Credential |
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Telephone | 817-741-2601
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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 |
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License Number State |
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