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General NPI Number Information
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NPI Number | 1427171313
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Entity Type | Organization
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Legal Business Name | METTA MIDWIFERY SERVICES
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Dates
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Enumeration Date | 04/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1218 LAWRENCE ST
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City | EL CERRITO
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State | CA
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Zip | 94530-2437
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Country | US
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Telephone | 510-235-4878
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Fax | 510-235-4878
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Provider Business Mailing Address
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Address Line | 1218 LAWRENCE ST
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City | EL CERRITO
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State | CA
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Zip | 94530-2437
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Country | US
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Telephone | 510-235-4878
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Fax | 510-235-4878
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. AMRIT K KHALSA
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Credential | R.N.
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Telephone | 510-235-4878
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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 | 222732
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License Number State | CA
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