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General NPI Number Information
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NPI Number | 1255225769
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Entity Type | Organization
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Legal Business Name | KINDRED BIRTH COLLECTIVE, LLC
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 1690 COMBIE RD
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City | MEADOW VISTA
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State | CA
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Zip | 95722-9512
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Country | US
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Telephone | 916-616-4093
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Fax |
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Provider Business Mailing Address
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Address Line | 1690 COMBIE RD
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City | MEADOW VISTA
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State | CA
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Zip | 95722-9512
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Country | US
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Telephone | 916-616-4093
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHALIN BUTTERWORTH
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Credential |
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Telephone | 916-616-4093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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