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General NPI Number Information
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NPI Number | 1346870748
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Entity Type | Organization
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Legal Business Name | EMBRACING OAK MIDWIFERY
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Dates
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Enumeration Date | 01/24/2020
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Last Update Date | 01/24/2020
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Provider Practice Location Address
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Address Line | 18031 US HIGHWAY 18 STE B
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2152
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Country | US
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Telephone | 760-985-4377
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Fax | 760-818-8126
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Provider Business Mailing Address
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Address Line | 18031 US HIGHWAY 18 STE B
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City | APPLE VALLEY
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State | CA
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Zip | 92307-2152
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Country | US
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Telephone |
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Fax | 760-818-8126
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | JADEVYONNA LEWIS
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Credential | CPM, LM
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Telephone | 760-985-4377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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