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General NPI Number Information
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NPI Number | 1396631081
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Entity Type | Organization
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Legal Business Name | IGI OSE - TRADITIONAL BIRTH SERVICES LLC
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Dates
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Enumeration Date | 06/17/2025
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 115 E MCINTYRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15214-3429
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Country | US
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Telephone | 412-449-9459
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E MCINTYRE AVE
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City | PITTSBURGH
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State | PA
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Zip | 15214-3429
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Country | US
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Telephone | 412-449-9459
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Fax |
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Authorized Official
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Title or Position | COMMUNITY MIDWIFE
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Name | SELENA A EISENBERG
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Credential | CM
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Telephone | 412-449-9459
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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