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General NPI Number Information
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NPI Number | 1427939115
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Entity Type | Organization
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Legal Business Name | KIHCI WOMBWORK COLLECTIVE, LLC.
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 2306 MILLS DR
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City | ROSWELL
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State | NM
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Zip | 88203-2408
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Country | US
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Telephone | 575-347-1315
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Fax |
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Provider Business Mailing Address
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Address Line | 212 S LEA AVE
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City | ROSWELL
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State | NM
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Zip | 88203-4576
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Country | US
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Telephone | 575-347-1315
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Fax |
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Authorized Official
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Title or Position | DIRECTOR AND DOULA
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Name | MRS. MAEVE ERAKIS EBRIGHT
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Credential | CERTIFIED DOULA
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Telephone | 575-840-7615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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