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General NPI Number Information
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NPI Number | 1619936796
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL WOMEN'S HEALTHCARE, P.A.
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Dates
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Enumeration Date | 03/19/2006
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 103 HUNT DR
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City | DUNN
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State | NC
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Zip | 28334-4987
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Country | US
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Telephone | 910-897-7711
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Fax | 910-897-2654
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Provider Business Mailing Address
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Address Line | 103 HUNT DR
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City | DUNN
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State | NC
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Zip | 28334-4987
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Country | US
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Telephone | 910-897-7711
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Fax | 910-897-2654
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | THOMAS GIEBMANNS
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Credential | M.D.
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Telephone | 910-897-7711
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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 | 128937
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License Number State | NC
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