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General NPI Number Information
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NPI Number | 1194606749
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Entity Type | Organization
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Legal Business Name | SACRED JOURNEY BIRTHING SERVICES LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1674 KIRKWOOD PIKE
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City | KIRKWOOD
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State | PA
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Zip | 17536-9601
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Country | US
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Telephone | 443-845-1843
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Fax |
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Provider Business Mailing Address
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Address Line | 1674 KIRKWOOD PIKE
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City | KIRKWOOD
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State | PA
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Zip | 17536-9601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ATARA KLEIN
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Credential | CPM
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Telephone | 443-845-1843
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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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