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General NPI Number Information
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NPI Number | 1093341083
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Entity Type | Organization
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Legal Business Name | PRISM BIRTH SERVICES INC
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Dates
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Enumeration Date | 03/21/2020
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Last Update Date | 03/21/2020
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Provider Practice Location Address
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Address Line | 5500 W VLIET ST # D
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City | MILWAUKEE
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State | WI
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Zip | 53208-2120
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Country | US
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Telephone | 414-253-5757
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Fax | 414-888-6851
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Provider Business Mailing Address
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Address Line | 250 E WARD ST APT 315
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City | MILWAUKEE
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State | WI
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Zip | 53207-1373
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Country | US
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Telephone | 414-708-9883
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | MS. NATASHA B BARIFFE
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Credential | LM, CPM
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Telephone | 414-253-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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