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General NPI Number Information
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NPI Number | 1427451665
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Entity Type | Organization
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Legal Business Name | TIME HONORED BEGINNINGS
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 1027 ELMWOOD AVE UPPR
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City | BUFFALO
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State | NY
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Zip | 14222-1201
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Country | US
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Telephone | 716-883-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 1027 ELMWOOD AVE UPPR
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City | BUFFALO
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State | NY
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Zip | 14222-1201
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Country | US
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Telephone | 716-883-1071
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Fax |
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Authorized Official
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Title or Position | BIRTH & POSTPARTUM DOULA
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Name | PRISCILLA A BALDWIN
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Credential |
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Telephone | 716-883-1071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 933874036
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License Number State | NY
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