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General NPI Number Information
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NPI Number | 1841352648
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Entity Type | Organization
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Legal Business Name | HEARTLAND WOMAN'S HEALTHCARE PLLC
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Dates
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Enumeration Date | 12/15/2006
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Last Update Date | 04/30/2009
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Provider Practice Location Address
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Address Line | 1201 WOODLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2709
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Country | US
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Telephone | 270-737-2727
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Fax | 270-737-7977
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Provider Business Mailing Address
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Address Line | 1201 WOODLAND DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2709
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Country | US
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Telephone | 270-737-2727
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Fax | 270-737-7977
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL STEVEN NETHERS
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Credential | MD
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Telephone | 270-737-2727
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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 | KY27334
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License Number State | KY
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