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General NPI Number Information
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NPI Number | 1720982994
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Entity Type | Organization
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Legal Business Name | THE HEALING MANTLE WOMEN HEALTH CONCIERGE LLC
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 4539 N 22ND ST STE B
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone | 623-400-3958
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Fax |
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Provider Business Mailing Address
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Address Line | 4539 N 22ND ST STE B
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City | PHOENIX
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State | AZ
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Zip | 85016-4639
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, CEO
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Name | RETHA HOWARD
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Credential |
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Telephone | 623-400-3958
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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 | NULL
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