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General NPI Number Information
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NPI Number | 1265040562
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Entity Type | Organization
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Legal Business Name | FIRST BREATH BIRTH AND WELLNESS, LLC
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Dates
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Enumeration Date | 07/22/2020
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Last Update Date | 07/22/2020
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Provider Practice Location Address
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Address Line | 769 W TERRA LN
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City | O FALLON
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State | MO
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Zip | 63366-2432
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Country | US
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Telephone | 636-294-6441
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Fax |
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Provider Business Mailing Address
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Address Line | 769 W TERRA LN
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City | O FALLON
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State | MO
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Zip | 63366-2432
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Country | US
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Telephone | 636-294-6441
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF NURSING SERVICES
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Name | NATALIE J BAKER
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Credential | RN
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Telephone | 636-294-6441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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