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General NPI Number Information
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NPI Number | 1649352014
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTHCARE OF SOUTHERN INDIANA LLC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 5300 STATE ROAD 64 SUITE 103
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City | GEORGETOWN
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State | IN
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Zip | 47122-9178
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Country | US
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Telephone | 812-923-6200
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Fax | 812-923-6204
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Provider Business Mailing Address
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Address Line | 5300 STATE ROAD 64 SUITE 103
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City | GEORGETOWN
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State | IN
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Zip | 47122-9178
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Country | US
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Telephone | 812-923-6200
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Fax | 812-923-6204
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Authorized Official
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Title or Position | OWNER
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Name | DR. KERRIN C DUNN
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Credential | M.D., PHD
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Telephone | 812-923-6200
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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 | 01059399A
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License Number State | IN
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