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General NPI Number Information
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NPI Number | 1629338538
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Entity Type | Organization
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Legal Business Name | YUMA WOMEN CLINIC, PLLC
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Dates
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Enumeration Date | 05/24/2012
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Last Update Date | 05/24/2012
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Provider Practice Location Address
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Address Line | 1025 W 24TH ST STE 22
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City | YUMA
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State | AZ
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Zip | 85364-8371
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Country | US
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Telephone | 419-508-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 1025 W 24TH ST STE 22
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City | YUMA
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State | AZ
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Zip | 85364-8371
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Country | US
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Telephone | 419-508-0864
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Fax |
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Authorized Official
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Title or Position | MBR
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Name | DR. NADER M HADDAD
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Credential | M.D.
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Telephone | 419-508-0864
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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 | 41192
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 41193
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License Number State | AZ
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