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General NPI Number Information
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NPI Number | 1659609980
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Entity Type | Organization
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Legal Business Name | ABOUT WOMENS HEALTH MEDICAL GROUP
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 15251 NATIONAL AVE SUITE 104
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City | LOS GATOS
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State | CA
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Zip | 95032-2400
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Country | US
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Telephone | 408-358-7360
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Fax |
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Provider Business Mailing Address
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Address Line | 15251 NATIONAL AVE SUITE 104
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City | LOS GATOS
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State | CA
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Zip | 95032-2400
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Country | US
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Telephone | 408-358-7360
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CATHERINE GRELLET
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Credential | MD
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Telephone | 408-356-7360
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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