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General NPI Number Information
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NPI Number | 1225565013
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Entity Type | Organization
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Legal Business Name | BLESSED BEGINNINGS BIRTH CENTER
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 05/11/2017
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Provider Practice Location Address
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Address Line | 3950 S. HWY 19
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City | PALESTINE
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State | TX
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Zip | 75801
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Country | US
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Telephone | 903-724-0319
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Fax | 903-764-0216
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Provider Business Mailing Address
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Address Line | 1639 W. FM 861
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City | ELKHART
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State | TX
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Zip | 75839
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Country | US
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Telephone | 903-724-0319
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Fax | 903-764-0216
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Authorized Official
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Title or Position | MIDWIFE
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Name | PAULA KRISTENE HOHLT
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Credential | LM
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Telephone | 903-724-0319
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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 | 01004
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License Number State | TX
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