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General NPI Number Information
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NPI Number | 1063959971
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Entity Type | Organization
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Legal Business Name | TIDELANDS MIDWIFERY LLC
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Dates
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Enumeration Date | 01/30/2017
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 4010 STONE WAY N STE 300
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City | SEATTLE
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State | WA
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Zip | 98103
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Country | US
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Telephone | 206-348-9178
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 95234
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City | SEATTLE
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State | WA
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Zip | 98145-2234
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Country | US
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Telephone | 206-348-9178
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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 | KATHERINE SAUERLENDER
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Credential | LM CPM MSM
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Telephone | 206-348-9178
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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 | WA
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