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General NPI Number Information
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NPI Number | 1982369872
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH AND WELLNESS CLINIC
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 125 W WALNUT ST
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City | OGDEN
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State | IA
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Zip | 50212-2046
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Country | US
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Telephone | 877-424-9321
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Fax | 515-275-2534
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Provider Business Mailing Address
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Address Line | 125 W WALNUT ST
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City | OGDEN
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State | IA
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Zip | 50212-2046
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Country | US
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Telephone | 877-424-9321
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Fax | 515-275-2534
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE NOEL MARTIN
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Credential | ARNP
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Telephone | 877-424-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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