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General NPI Number Information
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NPI Number | 1821171497
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH ASSOCIATES OF MONROE
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 08/21/2007
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Provider Practice Location Address
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Address Line | 410 WOOD ST
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City | MONROE
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State | LA
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Zip | 71201-7445
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Country | US
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Telephone | 318-325-1731
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Fax | 318-325-5636
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Provider Business Mailing Address
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Address Line | 410 WOOD STREET
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City | MONROE
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State | LA
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Zip | 71201
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Country | US
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Telephone | 318-325-1731
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Fax | 318-325-5636
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN WHITNEY MERCER JR.
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Credential | MD
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Telephone | 318-325-1731
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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 | L023779
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License Number State | LA
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