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General NPI Number Information
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NPI Number | 1134996812
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL BEGINNINGS COMMUNITY BIRTH CENTER LLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 6800 E BOGARD ROAD
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City | WASILLA
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State | AK
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Zip | 99654
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Country | US
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Telephone | 907-394-3339
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 839
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City | KENAI
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State | AK
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Zip | 99611-0839
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Country | US
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Telephone | 907-394-3339
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Fax |
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Authorized Official
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Title or Position | MEMBER/ CO-OWNER
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Name | ANDREA STIERS
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Credential |
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Telephone | 907-394-3339
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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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