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General NPI Number Information
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NPI Number | 1679369094
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Entity Type | Organization
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Legal Business Name | BEULAH WOMENS HEALTH LLC
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 1500 CHESTNUT ST STE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2700
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Country | US
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Telephone | 215-484-4152
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Fax | 215-610-5958
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Provider Business Mailing Address
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Address Line | 1500 CHESTNUT ST STE 2
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City | PHILADELPHIA
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State | PA
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Zip | 19102-2700
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Country | US
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Telephone | 215-484-4152
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Fax | 215-610-5958
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Authorized Official
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Title or Position | DNP, WHNP-BC
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Name | OBOT GRACE TIGAH
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Credential |
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Telephone | 215-459-9480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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