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General NPI Number Information
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NPI Number | 1760641278
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Entity Type | Organization
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Legal Business Name | ACADEMY OF WOMEN'S AND CHILDREN'S HEALTH, LLC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 06/09/2008
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Provider Practice Location Address
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Address Line | 2803 WRIGHTSBORO RD SUITE 45
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City | AUGUSTA
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State | GA
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Zip | 30909-3913
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Country | US
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Telephone | 706-736-2737
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Fax | 706-364-5808
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Provider Business Mailing Address
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Address Line | 2803 WRIGHTSBORO RD SUITE 45
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City | AUGUSTA
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State | GA
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Zip | 30909-3913
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Country | US
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Telephone | 706-736-2737
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Fax | 706-364-5808
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Authorized Official
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Title or Position | MANAGER
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Name | MARK BOWLING
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Credential |
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Telephone | 706-650-1332
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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 |
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License Number State |
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