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General NPI Number Information
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NPI Number | 1164179230
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Entity Type | Organization
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Legal Business Name | AA MIDWIFERY CENTER
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 10/27/2022
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Provider Practice Location Address
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Address Line | 5535 WALNUT AVE
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City | CHINO
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State | CA
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Zip | 91710-2611
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Country | US
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Telephone | 909-306-7278
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 WALNUT AVE
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City | CHINO
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State | CA
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Zip | 91710-2611
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Country | US
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Telephone | 909-306-7278
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Fax |
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Authorized Official
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Title or Position | LICENSED MIDWIFE/OWNER
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Name | DENISE MUNGUIA
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Credential |
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Telephone | 909-306-7278
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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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