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General NPI Number Information
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NPI Number | 1265151062
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Entity Type | Organization
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Legal Business Name | RIVERHAVEN COMMUNITY BIRTH CENTER
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Dates
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Enumeration Date | 08/24/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 330 WINDING RIVER LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-3568
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Country | US
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Telephone | 434-233-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 330 WINDING RIVER LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-3568
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PARTNER/MIDWIFE
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Name | EMILY PASQUARIELLO FRIAR
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Credential | CPM
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Telephone | 540-233-3013
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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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