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General NPI Number Information
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NPI Number | 1043028400
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Entity Type | Organization
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Legal Business Name | JAMII BIRTH AND WELLNESS SERVICES, LLC
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Dates
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Enumeration Date | 12/18/2024
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Last Update Date | 12/18/2024
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Provider Practice Location Address
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Address Line | 3333 STATION HOUSE RD STE B
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City | CHESAPEAKE
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State | VA
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Zip | 23321-2515
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Country | US
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Telephone | 833-526-4448
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Fax | 757-859-0007
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Provider Business Mailing Address
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Address Line | 3590 TOWNE POINT RD UNIT 6791
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City | PORTSMOUTH
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State | VA
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Zip | 23703-1339
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Country | US
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Telephone | 833-526-4448
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Fax | 757-439-7406
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Authorized Official
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Title or Position | OWNER
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Name | CLARICE NICHOLE CHILDS WARDLAW
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Credential | CNM
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Telephone | 833-526-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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