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General NPI Number Information
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NPI Number | 1932741626
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Entity Type | Organization
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Legal Business Name | HEALTHY WOMAN WOMEN'S CLINICS OF FLORIDA, INC.
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 2410 MAHAN DR STE 1
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City | TALLAHASSEE
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State | FL
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Zip | 32308-2305
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Country | US
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Telephone | 850-212-7098
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 14269
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City | TALLAHASSEE
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State | FL
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Zip | 32317-4269
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Country | US
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Telephone | 850-212-7098
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | MARY HEIMBACH
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Credential |
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Telephone | 850-212-7098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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