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NPI 1861437642

NPI 1861437642 : WOMEN CARING FOR WOMEN : FORT WAYNE, IN

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General NPI Number Information
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    NPI Number           |    1861437642
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    Entity Type          |    Organization 
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    Legal Business Name  |    WOMEN CARING FOR WOMEN 
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Dates
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    Enumeration Date     |    06/17/2006
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    Last Update Date     |    04/09/2009
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Provider Practice Location Address
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    Address Line         |    3974 NEW VISION DRIVE 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46845-1712
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    Country              |    US
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    Telephone            |    260-471-5980
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    Fax                  |    260-471-5981
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Provider Business Mailing Address
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    Address Line         |    3974 NEW VISION DRIVE 
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    City                 |    FORT WAYNE
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    State                |    IN
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    Zip                  |    46845-1712
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    Country              |    US
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    Telephone            |    260-471-5980
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    Fax                  |    260-471-5981
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Authorized Official
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    Title or Position    |    M.D./PRESIDENT
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    Name                 |     JUDY L. ZACHER 
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    Credential           |    M.D.
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    Telephone            |    260-471-5980
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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       |    50004812A
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    License Number State |    IN
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