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General NPI Number Information
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NPI Number | 1174935878
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Entity Type | Organization
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Legal Business Name | HOUSTON BIRTH SERVICES, INC
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 503 N AVENUE H
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City | HUMBLE
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State | TX
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Zip | 77338-3850
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Country | US
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Telephone | 281-319-6262
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Fax | 281-852-6114
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Provider Business Mailing Address
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Address Line | 18106 STONE ANGEL DR
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City | HUMBLE
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State | TX
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Zip | 77346-3502
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Country | US
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Telephone | 281-319-6262
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Fax | 281-852-6114
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Authorized Official
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Title or Position | MIDWIFE
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Name | MIRANDA KLINNER
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Credential | L.M. C.P.M.
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Telephone | 281-319-6262
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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 | 96056
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License Number State | TX
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