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General NPI Number Information
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NPI Number | 1093498420
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Entity Type | Organization
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Legal Business Name | LILAC HEALTH MIDWIFERY GROUP OF SAVANNAH LLC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 10/06/2023
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Provider Practice Location Address
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Address Line | 1692 CHATHAM PKWY
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City | SAVANNAH
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State | GA
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Zip | 31405-1350
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Country | US
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Telephone | 912-629-6262
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Fax |
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Provider Business Mailing Address
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Address Line | 1550 39TH ST
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City | BROOKLYN
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State | NY
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Zip | 11218-4414
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Country | US
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Telephone | 718-913-3383
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Fax |
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Authorized Official
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Title or Position | ORGANIZER
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Name | MR. NAFTULI SCHLUSSEL
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Credential |
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Telephone | 718-913-3383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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