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General NPI Number Information
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NPI Number | 1033019831
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Entity Type | Organization
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Legal Business Name | VINE & BRANCHES CLINIC AND BIRTH CENTER
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Dates
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Enumeration Date | 11/06/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 119 N JACKSON ST
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City | CHARLES CITY
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State | IA
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Zip | 50616-2002
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Country | US
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Telephone | 641-220-2969
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Fax |
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Provider Business Mailing Address
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Address Line | 119 N JACKSON ST
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City | CHARLES CITY
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State | IA
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Zip | 50616-2002
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Country | US
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Telephone | 641-220-2969
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JUDI HALBACH
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Credential | ARNP,CNM
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Telephone | 641-220-2969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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