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General NPI Number Information
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NPI Number | 1245029248
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Entity Type | Organization
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Legal Business Name | WOVEN CARE WELLNESS
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 3920 REED ST
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City | GARDEN CITY
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State | ID
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Zip | 83714-6458
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Country | US
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Telephone | 513-532-6622
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Fax |
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Provider Business Mailing Address
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Address Line | 3920 REED ST
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City | GARDEN CITY
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State | ID
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Zip | 83714-6458
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Country | US
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Telephone | 513-532-6622
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSE MIDWIFE -CO-OWNER
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Name | TESS WEIDNER
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Credential | CNM
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Telephone | 513-532-6622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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