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General NPI Number Information
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NPI Number | 1679193999
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Entity Type | Organization
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Legal Business Name | HEALTHCARE FOR WOMEN LLC
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 1515 N HARLEM AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1250
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Country | US
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Telephone | 708-628-3390
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Fax | 708-628-3385
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Provider Business Mailing Address
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Address Line | 1515 N HARLEM AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1250
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Country | US
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Telephone | 708-628-3390
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Fax | 708-628-3385
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Authorized Official
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Title or Position | OWNER
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Name | LYNDON D TAYLOR
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Credential | MD
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Telephone | 708-628-3390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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