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General NPI Number Information
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NPI Number | 1427768860
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Entity Type | Organization
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Legal Business Name | LOVERS LANE BIRTH CENTER
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Dates
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Enumeration Date | 11/28/2022
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 304 S COTTONWOOD DR STE A
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City | RICHARDSON
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State | TX
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Zip | 75080-5752
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Country | US
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Telephone | 214-366-3579
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Fax | 214-366-3580
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Provider Business Mailing Address
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Address Line | 304 S COTTONWOOD DR STE A
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City | RICHARDSON
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State | TX
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Zip | 75080-5752
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Country | US
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Telephone | 214-366-3579
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Fax | 214-366-3580
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELA ROSS
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Credential |
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Telephone | 214-366-3579
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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