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General NPI Number Information
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NPI Number | 1154949089
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Entity Type | Organization
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Legal Business Name | WOMEN'S CIRCLE CLINIC
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Dates
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Enumeration Date | 07/07/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 1003 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-4107
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Country | US
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Telephone | 530-751-2273
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Fax | 530-751-2274
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Provider Business Mailing Address
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Address Line | 1003 PLUMAS ST
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City | YUBA CITY
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State | CA
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Zip | 95991-4107
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Country | US
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Telephone | 530-751-2273
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Fax | 530-751-2274
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | ANGELA M KREIDER
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Credential | BSN, MSN
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Telephone | 530-751-2273
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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