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General NPI Number Information
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NPI Number | 1154036812
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Entity Type | Organization
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Legal Business Name | NEW MELODY BIRTH, LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 751 19TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-5310
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Country | US
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Telephone | 787-360-9571
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Fax |
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Provider Business Mailing Address
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Address Line | 751 19TH ST
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City | SAINT CLOUD
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State | FL
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Zip | 34769-5310
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Country | US
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Telephone | 787-360-9571
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Fax |
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Authorized Official
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Title or Position | LM
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Name | SELIDETH AMARILYS PEREZ-RIVERO
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Credential | LM, CMP
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Telephone | 787-360-9571
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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 |
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License Number State |
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