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General NPI Number Information
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NPI Number | 1689704256
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Entity Type | Organization
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Legal Business Name | SOUTHERN HILLS WOMEN'S HEALTH
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 11/16/2009
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Provider Practice Location Address
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Address Line | 9280 W SUNSET RD STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89148-4860
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Country | US
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Telephone | 702-870-3921
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Fax | 702-870-6726
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Provider Business Mailing Address
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Address Line | 9280 W SUNSET RD STE 210
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City | LAS VEGAS
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State | NV
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Zip | 89148-4860
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Country | US
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Telephone | 702-870-3921
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Fax | 702-870-6726
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | EVA DE SANTIAGO
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Credential |
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Telephone | 702-870-3900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 173000000X
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Taxonomy Name | Legal Medicine
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License Number | 2000399-650
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License Number State | NV
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