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General NPI Number Information
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NPI Number | 1154282044
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Entity Type | Organization
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Legal Business Name | MAGNOLIAS MIDWIFERY LLC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 5302 104TH ST E
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City | TACOMA
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State | WA
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Zip | 98446-5330
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Country | US
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Telephone | 253-336-8311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 665
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City | YELM
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State | WA
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Zip | 98597-0665
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Country | US
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Telephone | 253-579-2642
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Fax |
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Authorized Official
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Title or Position | MIDWIFE/ OWNER
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Name | AUNDREA CARMICHAEL
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Credential | LM, CPM
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Telephone | 253-579-2642
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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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