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General NPI Number Information
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NPI Number | 1245412048
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW MIDWIFERY
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Dates
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Enumeration Date | 12/04/2007
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 1208 BLAND CIR
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-4115
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Country | US
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Telephone | 434-962-0148
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Fax | 703-564-8562
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Provider Business Mailing Address
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Address Line | 1208 BLAND CIRCLE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901
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Country | US
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Telephone | 434-962-0148
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Fax | 703-564-8562
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DEREN ELAINE BADER
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Credential | CPM, DRPH
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Telephone | 434-962-0148
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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 | VA
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Taxonomy #2
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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 | VA
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