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General NPI Number Information
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NPI Number | 1235849795
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Entity Type | Organization
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Legal Business Name | THRIVE MIDWIFERY SERVICES LLC
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Dates
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Enumeration Date | 11/24/2022
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Last Update Date | 11/24/2022
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Provider Practice Location Address
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Address Line | 2525 DARTMOUTH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7817
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Country | US
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Telephone | 813-418-7186
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Fax | 813-669-5739
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Provider Business Mailing Address
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Address Line | 2525 DARTMOUTH AVE N
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City | SAINT PETERSBURG
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State | FL
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Zip | 33713-7817
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Country | US
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Telephone | 813-418-7186
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Fax | 813-669-5739
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | ROWAN CHRISTINE SMITH
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Credential | LM, CPM
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Telephone | 330-416-5845
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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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