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General NPI Number Information
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NPI Number | 1487150538
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Entity Type | Organization
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Legal Business Name | BIRTH ETC. INC.
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 04/05/2018
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Provider Practice Location Address
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Address Line | 8200 SW 117TH AVE
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City | MIAMI
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State | FL
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Zip | 33183-3856
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Country | US
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Telephone | 305-271-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 10420 SW 62ND ST
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City | MIAMI
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State | FL
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Zip | 33173-2817
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Country | US
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Telephone | 786-200-8442
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | MRS. CLARISSA IRMINA CARBO
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Credential | CNM, ARNP
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Telephone | 305-271-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1227232
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License Number State | FL
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