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General NPI Number Information
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NPI Number | 1386108801
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Entity Type | Organization
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Legal Business Name | GIFT OF LIFE PREGNANCY SERVICES, LLC
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Dates
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Enumeration Date | 01/29/2019
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 3518 BROADWAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-4842
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Country | US
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Telephone | 954-383-4198
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Fax | 561-429-8267
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Provider Business Mailing Address
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Address Line | 5045 SERRY LN
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City | PACE
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State | FL
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Zip | 32571-8858
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Country | US
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Telephone | 561-298-9220
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Fax | 850-807-5175
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Authorized Official
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Title or Position | MIDWIFE
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Name | MS. MANDY J ROJAS
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Credential | L.M.
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Telephone | 954-383-4198
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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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