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General NPI Number Information
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NPI Number | 1437451218
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Entity Type | Individual
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Provider Name | REBECCA SAMARA MORGAN ELOWEN LM, IBCLC, CST-I
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Gender | Female
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Dates
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Enumeration Date | 11/30/2010
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Last Update Date | 01/14/2023
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Provider Practice Location Address
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Address Line | 7 MOUNT LASSEN DR
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City | SAN RAFAEL
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State | CA
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Zip | 94903-1148
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Country | US
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Telephone | 707-893-7877
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 248
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City | POINT REYES STATION
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State | CA
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Zip | 94956-0248
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Country | US
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Telephone | 415-250-6845
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 277
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License Number State | CA
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