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General NPI Number Information
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NPI Number | 1841096500
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Entity Type | Organization
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Legal Business Name | DELA WOMEN'S HEALTH
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 348 S 2000 W # 18A
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City | PLEASANT GROVE
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State | UT
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Zip | 84062-3885
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Country | US
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Telephone | 208-881-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 1072 W 1360 S # 1072
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City | OREM
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State | UT
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Zip | 84058-2265
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Country | US
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Telephone | 602-402-4122
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ROCK SHILL
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Credential |
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Telephone | 602-402-4122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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