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General NPI Number Information
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NPI Number | 1386293835
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Entity Type | Organization
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Legal Business Name | A FAMILY AFFAIR BIRTH CENTER
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Dates
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Enumeration Date | 09/07/2019
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Last Update Date | 09/26/2019
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Provider Practice Location Address
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Address Line | 15644 POMERADO RD STE 302
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City | POWAY
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State | CA
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Zip | 92064-2455
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Country | US
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Telephone | 858-278-2930
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Fax | 858-278-2943
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Provider Business Mailing Address
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Address Line | 15644 POMERADO RD STE 306
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City | POWAY
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State | CA
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Zip | 92064-2419
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Country | US
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Telephone | 858-278-2930
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Fax | 858-278-2943
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Authorized Official
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Title or Position | PRESIDENT
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Name | HEATHER LEMASTER
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Credential | LM, CPM
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Telephone | 619-565-8831
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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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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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