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General NPI Number Information
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NPI Number | 1447831219
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Entity Type | Organization
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Legal Business Name | INTIMATE JOURNEY BIRTH & WELLNESS
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 4251 S HIGUERA ST STE 300
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7741
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Country | US
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Telephone | 805-270-4466
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Fax | 805-855-4014
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Provider Business Mailing Address
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Address Line | 4251 S HIGUERA ST STE 300
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7741
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Country | US
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Telephone | 805-270-4466
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | ERIN ELISSA ASHLEY
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Credential | LM, CPM
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Telephone | 805-270-4466
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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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