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General NPI Number Information
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NPI Number | 1811988116
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Entity Type | Organization
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Legal Business Name | WOMEN'S SPECIALISTS OF PLANO, L.L.P.
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Dates
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Enumeration Date | 11/04/2005
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 3801 W 15TH ST STE 200
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City | PLANO
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State | TX
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Zip | 75075-7736
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Country | US
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Telephone | 972-379-2416
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Fax | 972-867-1018
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Provider Business Mailing Address
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Address Line | 3801 W 15TH ST STE 200
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City | PLANO
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State | TX
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Zip | 75075-7736
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Country | US
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Telephone | 972-379-2416
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Fax | 972-867-1018
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELIZABETH CORONADO
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Credential | M.D.
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Telephone | 972-379-2416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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