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General NPI Number Information
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NPI Number | 1346191020
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Entity Type | Organization
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Legal Business Name | COVENANT LIFE BIRTH AND WELLNESS FOUNDATION
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 7101 BUTLER RD
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City | NASHVILLE
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State | MI
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Zip | 49073-9529
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Country | US
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Telephone | 269-218-1232
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 BUTLER RD
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City | NASHVILLE
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State | MI
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Zip | 49073-9529
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Country | US
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Telephone | 269-218-1232
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Fax |
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Authorized Official
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Title or Position | FOUNDER/PRESIDENT
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Name | MRS. KRISTIN JOYCE RICHARDS-CAPP
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Credential | LM,CPM
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Telephone | 269-218-1232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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