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General NPI Number Information
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NPI Number | 1144702036
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Entity Type | Organization
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Legal Business Name | LABOR OF LOVE MIDWIFERY AND WOMEN HEALTH SERVICES LLC
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Dates
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Enumeration Date | 09/06/2018
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 309 N JEFFERSON ST
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City | ROBINSON
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State | IL
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Zip | 62454-2722
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Country | US
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Telephone | 618-553-8369
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Fax | 959-666-6204
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Provider Business Mailing Address
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Address Line | 12188 N 920TH ST
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City | ROBINSON
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State | IL
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Zip | 62454-4314
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Country | US
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Telephone | 618-553-8369
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DEBRA B LOWRANCE
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Credential | CNM
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Telephone | 618-553-8369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 209010085
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License Number State | IL
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