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General NPI Number Information
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NPI Number | 1255459707
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Entity Type | Organization
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Legal Business Name | BIRTHING LLC
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 7163 W RUE DE LAMOUR
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City | PEORIA
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State | AZ
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Zip | 85381-5087
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Country | US
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Telephone | 623-439-2001
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Fax | 623-738-1346
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Provider Business Mailing Address
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Address Line | 7163 W RUE DE LAMOUR
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City | PEORIA
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State | AZ
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Zip | 85381-5087
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Country | US
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Telephone | 623-439-2001
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Fax | 623-738-1346
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH RICCA IV
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Credential | CRNFA
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Telephone | 623-439-2001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number |
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License Number State |
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