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General NPI Number Information
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NPI Number | 1043609316
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Entity Type | Organization
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Legal Business Name | HOLISTIC HOMEBIRTH MADISON, LLC
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 52 GOLF COURSE RD
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City | MADISON
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State | WI
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Zip | 53704-1423
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Country | US
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Telephone | 630-885-6826
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Fax |
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Provider Business Mailing Address
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Address Line | 52 GOLF COURSE RD
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City | MADISON
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State | WI
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Zip | 53704-1423
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Country | US
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Telephone | 630-885-6826
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Fax |
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | CHRISTINA A OSER
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Credential | CNM, WHNP
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Telephone | 630-885-6826
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 174-49
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License Number State | WI
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