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NPI 1043916331

NPI 1043916331 : WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA : UPLAND, CA

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General NPI Number Information
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    NPI Number           |    1043916331
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    Entity Type          |    Organization 
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    Legal Business Name  |    WHOLISTIC MIDWIFERY SCHOOL OF SOUTHERN CALIFORNIA 
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Dates
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    Enumeration Date     |    02/07/2023
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    1334 W FOOTHILL BLVD APT 18G 
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    City                 |    UPLAND
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    State                |    CA
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    Zip                  |    91786-3698
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    Country              |    US
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    Telephone            |    626-388-2191
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    Fax                  |    626-388-2191
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Provider Business Mailing Address
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    Address Line         |    600 LINCOLN AVE UNIT 92495 
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    City                 |    PASADENA
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    State                |    CA
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    Zip                  |    91109-5707
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    Country              |    US
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    Telephone            |    626-388-2191
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    Fax                  |    626-388-2191
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     CORDELIA SATTERFIELD HANNA-CHERUIYOT 
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    Credential           |    
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    Telephone            |    626-388-2191
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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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Taxonomy #2
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    Taxonomy Code        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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