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General NPI Number Information
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NPI Number | 1689625998
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL WOMENS HEALTH PARTNERS
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4541 MEDICAL CENTER DR
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City | MC KINNEY
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State | TX
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Zip | 75069
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Country | US
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Telephone | 972-542-8884
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Fax | 972-542-4056
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Provider Business Mailing Address
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Address Line | 4541 MEDICAL CENTER DR
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City | MC KINNEY
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State | TX
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Zip | 75069
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Country | US
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Telephone | 972-542-8884
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Fax | 972-542-4056
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Authorized Official
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Title or Position | DOCTOR
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Name | TRACEY A BANKS
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Credential | MD
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Telephone | 972-542-8884
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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 | K7992
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License Number State | TX
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