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General NPI Number Information
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NPI Number | 1457171068
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Entity Type | Organization
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Legal Business Name | AUSTIN BIRTH COMPANY LLC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 2111 DICKSON DR STE 20
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City | AUSTIN
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State | TX
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Zip | 78704-4788
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Country | US
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Telephone | 512-900-5987
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Fax |
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Provider Business Mailing Address
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Address Line | 117 S SEASHORE AVE
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City | LONG BEACH
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State | MS
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Zip | 39560-5706
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Country | US
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Telephone | 214-240-0237
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DEISRE'E MARTINELLI
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Credential |
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Telephone | 214-240-0237
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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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