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General NPI Number Information
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NPI Number | 1487385712
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Entity Type | Individual
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Provider Name | MARIE ROSE BIRD DNP, CNM, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1950 W FRYE RD BLDG B
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City | CHANDLER
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State | AZ
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Zip | 85224-6255
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Country | US
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Telephone | 480-895-9555
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 W FRYE RD BLDG B
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City | CHANDLER
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State | AZ
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Zip | 85224-6255
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Country | US
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Telephone | 480-895-9555
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 12076791-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 12076791-4402
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 321225
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License Number State | AZ
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