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General NPI Number Information
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NPI Number | 1023407194
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Entity Type | Organization
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Legal Business Name | BIRDS AND THE BEES MIDWIFERY
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Dates
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Enumeration Date | 01/13/2015
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 2305 N 29TH ST
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City | BOISE
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State | ID
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Zip | 83703-5615
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Country | US
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Telephone | 208-473-6284
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 N 29TH ST
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City | BOISE
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State | ID
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Zip | 83703-5615
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Country | US
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Telephone | 208-473-6284
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Fax |
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Authorized Official
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Title or Position | CERTIFIED PROFESSIONAL MIDWIFE
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Name | MRS. KRISTIN RACHELLE ADAMS
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Credential | CPM, LM
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Telephone | 208-473-6284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | 47
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License Number State | ID
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