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General NPI Number Information
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NPI Number | 1659413888
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Entity Type | Organization
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Legal Business Name | MOREHOUSE HOSP. WOMEN'S HEALTH CENTER
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 316 W WALNUT AVE
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City | BASTROP
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State | LA
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Zip | 71220-4522
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Country | US
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Telephone | 318-281-8555
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Fax | 318-281-0820
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Provider Business Mailing Address
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Address Line | 316 W WALNUT AVE
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City | BASTROP
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State | LA
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Zip | 71220-4522
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Country | US
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Telephone | 318-281-8555
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Fax | 318-281-0820
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Authorized Official
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Title or Position | STAFF PHYSICIAN
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Name | DR. JANOS G GUOTH
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Credential | MD
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Telephone | 318-281-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 14422R
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License Number State | LA
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