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General NPI Number Information
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NPI Number | 1720490048
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CENTER & PRIMARY CARE
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Dates
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Enumeration Date | 05/21/2014
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 1610 TAZEWELL RD STE 202
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City | TAZEWELL
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State | TN
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Zip | 37879-3600
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Country | US
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Telephone | 423-626-2410
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Fax |
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Provider Business Mailing Address
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Address Line | 1610 TAZEWELL RD STE 202
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City | TAZEWELL
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State | TN
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Zip | 37879-3600
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Country | US
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Telephone | 423-626-2410
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SCOTT MATSON
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Credential | D.O.
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Telephone | 423-626-2410
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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 | DO1498
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License Number State | TN
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