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General NPI Number Information
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NPI Number | 1114916442
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Entity Type | Organization
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Legal Business Name | WOMEN TO WOMEN MIDWIFERY CARE
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Dates
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Enumeration Date | 10/19/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 402 W MCPHERSON HWY
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City | CLYDE
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State | OH
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Zip | 43410-1133
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Country | US
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Telephone | 419-547-3558
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Fax | 419-547-1301
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Provider Business Mailing Address
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Address Line | 402 W MCPHERSON HWY
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City | CLYDE
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State | OH
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Zip | 43410-1133
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Country | US
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Telephone | 419-547-3558
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Fax | 419-547-1301
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Authorized Official
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Title or Position | OWNER
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Name | KATHLEEN SUE FRIES
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Credential | CNM
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Telephone | 419-547-3558
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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 | NM00737
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License Number State | OH
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