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General NPI Number Information
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NPI Number | 1932664323
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Entity Type | Organization
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Legal Business Name | LUXE WOMEN'S HEALTH LLC
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Dates
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Enumeration Date | 02/10/2019
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Last Update Date | 05/05/2021
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD STE 126
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5995
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Country | US
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Telephone | 480-550-5117
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Fax | 833-424-7117
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Provider Business Mailing Address
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Address Line | 22424 S ELLSWORTH LOOP RD UNIT 1007
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-7124
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Country | US
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Telephone | 480-550-5117
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Fax | 833-424-7117
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | JENNIFER WRIGHT-BENNION
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Credential | MSN, CNS, APRN
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Telephone | 480-550-5117
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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