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General NPI Number Information
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NPI Number | 1063205003
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Entity Type | Organization
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Legal Business Name | BIRTH GARDENS LLC
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Dates
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Enumeration Date | 05/23/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 10905 MARBLE RD
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City | AUSTIN
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State | TX
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Zip | 78750-1517
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Country | US
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Telephone | 512-750-6785
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Fax |
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Provider Business Mailing Address
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Address Line | 10905 MARBLE RD
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City | AUSTIN
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State | TX
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Zip | 78750-1517
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE LECLERCQ
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Credential | CPM, IBCLC
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Telephone | 512-750-6785
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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