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General NPI Number Information
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NPI Number | 1053904706
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Entity Type | Organization
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Legal Business Name | EMBRACE WOMEN'S HEALTH AND MIDWIFERY CARE LLC
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Dates
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Enumeration Date | 02/13/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 827 E COLONIAL AVE STE B
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City | MOSES LAKE
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State | WA
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Zip | 98837-4644
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Country | US
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Telephone | 509-707-0212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2525
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City | MOSES LAKE
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State | WA
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Zip | 98837-0752
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Country | US
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Telephone | 206-375-5287
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MRS. STACY D PURCELL
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Credential | ARNP
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Telephone | 206-375-5287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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