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General NPI Number Information
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NPI Number | 1114307816
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Entity Type | Organization
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Legal Business Name | A MOTHER'S CHOICE
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Dates
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Enumeration Date | 06/08/2015
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 2130 ACADEMY CIR SUITE D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1694
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Country | US
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Telephone | 719-425-2631
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Fax |
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Provider Business Mailing Address
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Address Line | 2130 ACADEMY CIR SUITE D
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1694
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Country | US
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Telephone | 719-425-2631
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DEMETRA SERIKI
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Credential | CPM
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Telephone | 719-425-2631
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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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