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General NPI Number Information
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NPI Number | 1134464225
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Entity Type | Organization
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Legal Business Name | MAHONING VALLEY BIRTH CENTER LLC
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Dates
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Enumeration Date | 11/30/2012
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Last Update Date | 02/07/2013
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Provider Practice Location Address
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Address Line | 3622 BELMONT AVE STE 21
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1444
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Country | US
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Telephone | 330-406-9929
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Fax | 330-758-1141
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Provider Business Mailing Address
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Address Line | 3622 BELMONT AVE STE 21
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City | YOUNGSTOWN
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State | OH
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Zip | 44505-1444
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Country | US
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Telephone | 330-406-9929
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Fax | 330-758-1141
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Authorized Official
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Title or Position | CERTIFIED NURSE-MIDWIFE, OWNER
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Name | RACHEL SIEMAN
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Credential | CNM
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Telephone | 330-518-7625
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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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