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General NPI Number Information
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NPI Number | 1609018506
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMEN'S WELLNESS, PLLC
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 21402 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7587
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Country | US
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Telephone | 281-398-0777
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Fax | 281-398-0771
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Provider Business Mailing Address
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Address Line | 21402 PROVINCIAL BLVD
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City | KATY
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State | TX
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Zip | 77450-7587
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Country | US
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Telephone | 281-398-0777
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Fax | 281-398-0771
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA MILIAN SOBARZO
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Credential | MD
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Telephone | 281-398-0777
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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 | H1293
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License Number State | TX
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