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General NPI Number Information
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NPI Number | 1902662406
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Entity Type | Organization
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Legal Business Name | EMPOWERHER WOMEN'S CARE CLINIC
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 8038 N 600 W STE 100
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City | MCCORDSVILLE
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State | IN
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Zip | 46055-8605
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Country | US
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Telephone | 317-932-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 8038 N 600 W STE 100
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City | MCCORDSVILLE
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State | IN
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Zip | 46055-8605
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Country | US
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Telephone | 317-932-3426
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Fax |
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Authorized Official
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Title or Position | FOUNDER/WOMEN'S HEALTH NURSE PRACT.
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Name | MRS. KATELYN BLACKMON
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Credential | WHNP-BC
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Telephone | 317-932-3426
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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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