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General NPI Number Information
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NPI Number | 1831389048
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Entity Type | Organization
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Legal Business Name | EMPOWER WOMEN HEALTH CENTER PC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 900 1ST ST SUITE A
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City | MACON
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State | GA
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Zip | 31201-6806
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Country | US
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Telephone | 478-743-4030
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Fax | 478-743-4032
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Provider Business Mailing Address
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Address Line | 900 1ST ST SUITE A
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City | MACON
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State | GA
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Zip | 31201-6806
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Country | US
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Telephone | 478-743-4030
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Fax | 478-743-4032
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Authorized Official
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Title or Position | OB/GYN
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Name | DR. KATHLEEN MONT-LOUIS
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Credential | MD
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Telephone | 478-743-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 048674
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License Number State | GA
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