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General NPI Number Information
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NPI Number | 1437971116
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST MATERNITY CENTER PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 4056 ALTA MESA DR
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City | REDDING
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State | CA
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Zip | 96002-3732
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Country | US
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Telephone | 541-499-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 4056 ALTA MESA DR
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City | REDDING
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State | CA
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Zip | 96002-3732
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Country | US
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Telephone | 541-499-7864
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Fax |
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | REBEKAH FRANKIE
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Credential | LM
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Telephone | 541-499-7864
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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 |
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License Number State |
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