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General NPI Number Information
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NPI Number | 1861706616
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTHCARE CONSULTANTS PC
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Dates
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Enumeration Date | 08/04/2010
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 3009 N BALLAS RD SUITE 352 BUILDING C
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-395-8192
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Fax | 314-395-8196
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Provider Business Mailing Address
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Address Line | 3009 N BALLAS RD SUITE 352 BUILDING C
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City | SAINT LOUIS
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State | MO
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Zip | 63131-2322
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Country | US
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Telephone | 314-395-8192
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Fax | 314-395-8196
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JODIE RAI
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Credential | MD
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Telephone | 314-395-8192
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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 | 10176
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License Number State | MO
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