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General NPI Number Information
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NPI Number | 1235883745
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Entity Type | Organization
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Legal Business Name | COMMUNITY BIRTH GROUP
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Dates
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Enumeration Date | 02/04/2022
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 62 HOT SPRINGS AVE
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City | CARSON
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State | WA
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Zip | 98610-3315
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Country | US
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Telephone | 800-341-8598
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Fax | 866-399-0991
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Provider Business Mailing Address
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Address Line | 216 TOWER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78223-6018
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Country | US
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Telephone | 800-341-8598
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Fax | 210-547-9603
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Authorized Official
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Title or Position | OFFICE STAFF
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Name | ERIKA LEWIS
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Credential |
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Telephone | 800-341-8598
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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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