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General NPI Number Information
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NPI Number | 1629131842
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTHCARE IMAGE, LLC
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 5283 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95819-4546
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Country | US
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Telephone | 916-451-6000
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Fax | 916-471-0399
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Provider Business Mailing Address
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Address Line | 5283 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95819-4546
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Country | US
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Telephone | 916-451-6000
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Fax | 916-471-0399
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Authorized Official
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Title or Position | MEMBER
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Name | MRS. ERICA CELESTE WALKER
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Credential | CMF
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Telephone | 916-451-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | CA
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