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General NPI Number Information
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NPI Number | 1114430063
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Entity Type | Organization
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Legal Business Name | GLOBAL BIRTHING CARE
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Dates
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Enumeration Date | 11/14/2017
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 10955 SW 15TH ST # 2-305
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-5553
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Country | US
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Telephone | 786-431-8121
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Fax |
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Provider Business Mailing Address
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Address Line | 10955 SW 15TH ST # 2-305
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-5553
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Country | US
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Telephone | 786-431-8121
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DELLAREECE BASTIAN
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Credential | LM
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Telephone | 786-431-8121
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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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