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NPI 1659075828

NPI 1659075828 : COMPASSIONATE WOMEN'S HEALTH PLLC : JACKSONVILLE, TX

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General NPI Number Information
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    NPI Number           |    1659075828
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSIONATE WOMEN'S HEALTH PLLC 
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Dates
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    Enumeration Date     |    03/29/2023
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    Last Update Date     |    04/15/2023
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Provider Practice Location Address
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    Address Line         |    423 S MAIN ST 
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    City                 |    JACKSONVILLE
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    State                |    TX
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    Zip                  |    75766-4927
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    Country              |    US
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    Telephone            |    903-508-4203
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    Fax                  |    903-522-4102
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Provider Business Mailing Address
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    Address Line         |    423 S MAIN ST 
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    City                 |    JACKSONVILLE
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    State                |    TX
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    Zip                  |    75766-4927
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    Country              |    US
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    Telephone            |    903-508-4203
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    Fax                  |    903-522-4102
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. HARSH  ADHYARU 
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    Credential           |    MD
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    Telephone            |    903-508-4203
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QM2500X
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    Taxonomy Name        |    Medical Specialty Clinic/Center
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    License Number       |    
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    License Number State |    
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