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NPI 1164944807

NPI 1164944807 : BIRTHING SPOT & WELLNESS : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1164944807
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIRTHING SPOT & WELLNESS 
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Dates
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    Enumeration Date     |    07/14/2017
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    Last Update Date     |    07/14/2017
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Provider Practice Location Address
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    Address Line         |    116 N NORWICH AVE 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79416-3730
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    Country              |    US
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    Telephone            |    806-702-9444
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    Fax                  |    888-886-2703
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Provider Business Mailing Address
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    Address Line         |    116 N NORWICH AVE 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79416-3730
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    Country              |    US
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    Telephone            |    806-702-9444
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    Fax                  |    888-886-2703
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Authorized Official
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    Title or Position    |    OWNER, CLINICAL DIRECTOR, LEAD CNM
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    Name                 |    DR. CHRISTINE  STUART 
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    Credential           |    CNM, WHNP, DNP, APRN
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    Telephone            |    806-702-9444
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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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