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General NPI Number Information
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NPI Number | 1265347439
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Entity Type | Organization
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Legal Business Name | COMMUNITY BIRTH GROUP
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 467 SUNSET DR
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City | JORDAN
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State | MN
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Zip | 55352-1629
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Country | US
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Telephone | 210-464-3611
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Fax | 888-329-2091
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Provider Business Mailing Address
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Address Line | 216 TOWER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78223-6018
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Country | US
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Telephone | 210-464-3611
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Fax | 888-329-2091
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Authorized Official
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Title or Position | ADMIN
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Name | FAITH BLEVINS
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Credential |
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Telephone | 210-464-3611
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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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