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General NPI Number Information
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NPI Number | 1891240503
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Entity Type | Organization
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Legal Business Name | LIFECHOICES WOMEN'S CARE, INC.
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 18560 N DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-7900
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Country | US
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Telephone | 813-948-7734
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Fax | 813-769-9752
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Provider Business Mailing Address
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Address Line | 18560 N DALE MABRY HWY
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City | LUTZ
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State | FL
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Zip | 33548-7900
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Country | US
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Telephone | 813-948-7734
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Fax | 813-769-9752
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | VANESSA ACEVEDO
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Credential |
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Telephone | 813-948-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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