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General NPI Number Information
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NPI Number | 1013483924
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Entity Type | Organization
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Legal Business Name | SEEDLING BIRTHS LLC
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 10/17/2018
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Provider Practice Location Address
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Address Line | 803 CHURCH ST
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2212
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Country | US
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Telephone | 469-652-6696
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Fax | 469-716-4057
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Provider Business Mailing Address
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Address Line | 4083 COUNTY ROAD 4509
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City | COMMERCE
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State | TX
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Zip | 75428-5243
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Country | US
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Telephone | 214-697-3064
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Fax | 469-716-4057
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Authorized Official
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Title or Position | MIDWIFE
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Name | JENNIFER MARIE CHRISMAN
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Credential | LM, CPM
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Telephone | 469-652-6696
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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