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General NPI Number Information
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NPI Number | 1467337006
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Entity Type | Organization
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Legal Business Name | BIRTH CENTER AT WELL BODY, LLC
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 9843 CALVIN HALL RD
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City | INDIAN LAND
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State | SC
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Zip | 29707-8620
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Country | US
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Telephone | 803-402-3943
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Fax | 803-961-6323
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Provider Business Mailing Address
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Address Line | 9843 CALVIN HALL RD
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City | INDIAN LAND
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State | SC
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Zip | 29707-8620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/OPERATIONS DIRECTOR
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Name | TASHONA R WINSLOW
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Credential |
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Telephone | 803-402-3943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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