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General NPI Number Information
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NPI Number | 1346106101
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Entity Type | Organization
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Legal Business Name | NEW SONG COMMUNITY WELLNESS
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Dates
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Enumeration Date | 12/24/2025
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Last Update Date | 12/24/2025
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Provider Practice Location Address
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Address Line | 16050 WAYNE ST
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City | UNION
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State | MI
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Zip | 49130-9637
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Country | US
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Telephone | 574-248-2485
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Fax | 574-319-7689
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Provider Business Mailing Address
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Address Line | 16050 WAYNE ST
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City | UNION
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State | MI
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Zip | 49130-9637
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Country | US
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Telephone | 574-248-2485
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Fax | 574-319-7689
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | SHANNA STAR GARRIES
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Credential | LM, CPM
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Telephone | 574-248-2485
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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 |
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License Number State |
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