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General NPI Number Information
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NPI Number | 1790822435
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Entity Type | Organization
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Legal Business Name | WOMANCARE INC
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 309 W WALNUT ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-5176
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Country | US
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Telephone | 269-388-4477
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Fax | 269-388-2983
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Provider Business Mailing Address
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Address Line | 309 W WALNUT ST
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City | KALAMAZOO
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State | MI
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Zip | 49007-5176
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Country | US
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Telephone | 269-388-4477
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Fax | 269-388-2983
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH KAY LOUDIN
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Credential | MA LPC
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Telephone | 269-388-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 6401000015
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License Number State | MI
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