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General NPI Number Information
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NPI Number | 1497247787
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Entity Type | Organization
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Legal Business Name | PHILLY MIDWIFE COLLECTIVE
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Dates
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Enumeration Date | 06/01/2018
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 270 W WALNUT LN FL 3
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City | PHILADELPHIA
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State | PA
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Zip | 19144-3204
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Country | US
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Telephone | 484-243-0925
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Fax |
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Provider Business Mailing Address
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Address Line | 5500 WISSAHICKON AVE # M103A
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City | PHILADELPHIA
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State | PA
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Zip | 19144-5653
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Country | US
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Telephone | 484-243-0925
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | ALISON M CUTTS
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Credential | CNM
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Telephone | 267-398-5054
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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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