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General NPI Number Information
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NPI Number | 1285808261
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Entity Type | Organization
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Legal Business Name | CALIFORNIA MIDWIFERY SERVICE
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Dates
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Enumeration Date | 04/21/2008
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Last Update Date | 03/26/2013
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Provider Practice Location Address
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Address Line | 2225 GRANT RD STE 1A
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City | LOS ALTOS
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State | CA
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Zip | 94024-6960
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Country | US
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Telephone | 650-964-2229
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Fax | 650-964-2228
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Provider Business Mailing Address
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Address Line | 2225 GRANT RD STE 1A
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City | LOS ALTOS
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State | CA
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Zip | 94024-6960
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Country | US
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Telephone | 650-964-2229
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Fax | 650-964-2228
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Authorized Official
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Title or Position | CEO
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Name | MS. ROSANNA MAY DAVIS
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Credential | LM, CPM
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Telephone | 650-964-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | LM0180
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License Number State | CA
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