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General NPI Number Information
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NPI Number | 1295244812
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Entity Type | Organization
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Legal Business Name | MIRACLE PREGNANCY & BIRTH SERVICES
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 180 DELAWARE ST
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City | WALTON
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State | NY
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Zip | 13856-1127
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Country | US
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Telephone | 607-269-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 180 DELAWARE ST
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City | WALTON
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State | NY
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Zip | 13856-1127
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Country | US
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Telephone | 607-269-5020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL L JAMES
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Credential |
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Telephone | 607-865-8980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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