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General NPI Number Information
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NPI Number | 1386369494
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Entity Type | Organization
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Legal Business Name | LAOCH MIDWIFERY PLLC
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Dates
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Enumeration Date | 10/11/2022
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Last Update Date | 10/11/2022
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Provider Practice Location Address
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Address Line | 400 E PIONEER STE 100
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City | PUYALLUP
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State | WA
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Zip | 98372-3256
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Country | US
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Telephone | 360-890-3101
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Fax | 360-841-7753
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Provider Business Mailing Address
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Address Line | 400 E PIONEER STE 100
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City | PUYALLUP
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State | WA
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Zip | 98372-3256
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Country | US
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Telephone | 360-890-3101
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Fax | 360-841-7753
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Authorized Official
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Title or Position | MIDWIFE AND OWNER
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Name | NEVA GERKE
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Credential | LM
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Telephone | 360-890-3101
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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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