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General NPI Number Information
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NPI Number | 1972717221
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CENTER PC
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 2200 BEECHMONT RD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-1614
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Country | US
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Telephone | 434-572-8772
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Fax | 434-572-8944
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Provider Business Mailing Address
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Address Line | 2200 BEECHMONT RD
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City | SOUTH BOSTON
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State | VA
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Zip | 24592-1614
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Country | US
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Telephone | 434-572-8772
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Fax | 434-572-8944
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHARLES WILLIAM ROSCHE
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Credential | MD
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Telephone | 434-572-8772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 0101043289
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License Number State | VA
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