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General NPI Number Information
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NPI Number | 1114866472
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Entity Type | Organization
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Legal Business Name | MIDWIVES OF LEBANON VALLEY
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 770 HOST RD
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City | WOMELSDORF
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State | PA
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Zip | 19567-9100
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Country | US
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Telephone | 717-933-9743
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Fax | 717-933-8289
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Provider Business Mailing Address
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Address Line | 770 HOST RD
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City | WOMELSDORF
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State | PA
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Zip | 19567-9100
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Country | US
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Telephone | 717-933-9743
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Fax | 717-933-8289
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | LUCINDA GRACE MANGES
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Credential | CNM
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Telephone | 717-922-9743
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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