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General NPI Number Information
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NPI Number | 1942300074
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Entity Type | Organization
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Legal Business Name | THE WOMEN'S CENTRE PC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 06/27/2014
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Provider Practice Location Address
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Address Line | 715 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4209
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Country | US
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Telephone | 970-249-6737
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Fax | 970-252-0112
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Provider Business Mailing Address
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Address Line | 715 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4209
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Country | US
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Telephone | 970-249-6737
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Fax | 970-252-0112
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD G HANLEY
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Credential | MD
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Telephone | 970-249-6737
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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 | 28740
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License Number State | CO
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