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General NPI Number Information
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NPI Number | 1093122913
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Entity Type | Organization
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Legal Business Name | HEART OF TEXAS MIDWIVES LLC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 07/14/2014
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Provider Practice Location Address
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Address Line | 1825 E 38TH 1/2 ST
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City | AUSTIN
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State | TX
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Zip | 78722-1341
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Country | US
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Telephone | 512-925-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 4006 CORTINA DR
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City | AUSTIN
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State | TX
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Zip | 78749-4924
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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 | COOWNER
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Name | MONIKA STONE
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Credential | CPM, LM
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Telephone | 512-925-8354
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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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