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General NPI Number Information
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NPI Number | 1821889619
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Entity Type | Organization
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Legal Business Name | ERAS WOMEN'S HEALTH LLC
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Dates
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Enumeration Date | 05/13/2025
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 4018 E CASTON DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3084
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Country | US
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Telephone | 901-497-2562
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Fax |
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Provider Business Mailing Address
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Address Line | 4018 E CASTON DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-3084
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Country | US
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Telephone | 901-497-2562
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Fax |
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Authorized Official
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Title or Position | MANAGER/CEO
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Name | NATALIE SHEW
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Credential |
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Telephone | 901-497-2562
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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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