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General NPI Number Information
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NPI Number | 1831122316
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Entity Type | Organization
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Legal Business Name | ATHENA MEDICAL CENTER FOR WOMEN, INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/14/2011
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Provider Practice Location Address
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Address Line | 321 CHERRY LN
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City | MANTECA
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State | CA
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Zip | 95337-4355
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Country | US
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Telephone | 209-825-5484
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Fax |
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Provider Business Mailing Address
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Address Line | 321 CHERRY LN
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City | MANTECA
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State | CA
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Zip | 95337-4355
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MD
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Name | AUTHER E ADAMS
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Credential |
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Telephone | 209-825-5484
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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 | A40262
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License Number State | CA
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