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General NPI Number Information
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NPI Number | 1831142744
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Entity Type | Organization
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Legal Business Name | ASHLAND WOMEN'S HEALTH
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 841 29TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-3019
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Country | US
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Telephone | 606-324-1170
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Fax | 606-324-1077
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Provider Business Mailing Address
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Address Line | 841 29TH ST
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City | ASHLAND
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State | KY
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Zip | 41101-3019
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Country | US
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Telephone | 606-324-1170
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Fax | 606-324-1077
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. BONNIE LOU LAUDENBACH
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Credential | M.D.
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Telephone | 606-324-1170
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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 | 35503
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License Number State | KY
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