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General NPI Number Information
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NPI Number | 1245605757
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Entity Type | Organization
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Legal Business Name | THE BIRTHING INN, PLLC
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Dates
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Enumeration Date | 12/09/2015
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Last Update Date | 12/09/2015
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Provider Practice Location Address
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Address Line | 6002 WESTGATE BLVD STE 120
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City | TACOMA
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State | WA
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Zip | 98406-2580
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Country | US
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Telephone | 253-761-8939
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Fax |
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Provider Business Mailing Address
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Address Line | 6002 WESTGATE BLVD STE 120
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City | TACOMA
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State | WA
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Zip | 98406-2580
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Country | US
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Telephone | 253-761-8939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN SHERWOOD
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Credential | LM, CPM
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Telephone | 253-686-3014
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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 | MW60386592
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License Number State | WA
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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 |
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