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General NPI Number Information
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NPI Number | 1134918451
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Entity Type | Organization
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Legal Business Name | LUXE BIRTHING SOLUTIONS
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4233 MOURNING DOVE DR
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City | WATERLOO
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State | IA
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Zip | 50702-6128
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Country | US
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Telephone | 319-493-7889
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Fax |
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Provider Business Mailing Address
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Address Line | 1542 FLAMMANG DR STE 1040
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City | WATERLOO
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State | IA
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Zip | 50702-4370
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Country | US
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Telephone | 319-493-7889
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Fax | 319-444-8093
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Authorized Official
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Title or Position | DIRECTOR
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Name | SENORIA SHANTE WALLICAN-NESBIT
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Credential |
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Telephone | 319-493-7889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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