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General NPI Number Information
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NPI Number | 1659498129
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Entity Type | Organization
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Legal Business Name | JUST FOR WOMEN HEALTH CENTER PA
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5100 W 12TH ST
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City | LITTLE ROCK
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State | AR
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Zip | 72204-1855
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Country | US
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Telephone | 501-663-2200
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Fax | 501-954-7624
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Provider Business Mailing Address
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Address Line | PO BOX 56080
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City | LITTLE ROCK
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State | AR
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Zip | 72215-6080
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Country | US
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Telephone | 501-663-2200
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Fax | 501-954-7624
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Authorized Official
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Title or Position | OWNER
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Name | DR. BETTY ORANGE
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Credential | D.O.
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Telephone | 501-663-2200
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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 | E-0444
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License Number State | AR
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