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General NPI Number Information
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NPI Number | 1740929959
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Entity Type | Organization
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Legal Business Name | WOMAN'S PLACE FOR OPTIMAL WELLNESS & LONGEVITY LLC
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 4304 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78504-2477
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Country | US
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Telephone | 956-686-3900
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Fax | 956-686-3323
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Provider Business Mailing Address
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Address Line | 4304 N MCCOLL RD
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City | MCALLEN
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State | TX
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Zip | 78504-2477
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Country | US
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Telephone | 956-686-3900
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Fax | 956-686-3323
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | DR. NORMA SOMOHANO-MENDIOLA
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Credential | DNP, APRN, WHNP-BC
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Telephone | 956-686-3900
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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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