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General NPI Number Information
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NPI Number | 1881886463
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH SPECTRUM LLC
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 319 HOSPITAL DR SUITE 204
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City | MARTINSVILLE
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State | VA
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Zip | 24112-1929
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Country | US
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Telephone | 276-632-2999
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Fax | 276-632-1551
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Provider Business Mailing Address
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Address Line | 319 HOSPITAL DR SUITE 204
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City | MARTINSVILLE
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State | VA
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Zip | 24112-1929
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Country | US
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Telephone | 276-632-2999
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Fax | 276-632-1551
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Authorized Official
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Title or Position | CEO
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Name | DR. TERRI EUGENIA YOUNGER-EURE
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Credential | D.O.
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Telephone | 276-632-2999
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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 | 0102202073
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License Number State | VA
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