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General NPI Number Information
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NPI Number | 1316481245
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Entity Type | Organization
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Legal Business Name | COMMUNITY MIDWIFERY CARE, PLLC
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 426 13TH ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11215-5170
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Country | US
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Telephone | 917-599-7719
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Fax |
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Provider Business Mailing Address
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Address Line | 426 13TH ST APT 2B
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City | BROOKLYN
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State | NY
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Zip | 11215-5170
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Country | US
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Telephone | 917-599-7719
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | GINA EICHENBAUM-PIKSER
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Credential | CNM
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Telephone | 917-599-7719
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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 | 001320
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License Number State | NY
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