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General NPI Number Information
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NPI Number | 1508201419
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Entity Type | Organization
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Legal Business Name | FLAGSTAFF BIRTH AND WOMEN'S HEALTH
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 401 W ASPEN AVE
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5305
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Country | US
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Telephone | 928-707-0942
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Fax |
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Provider Business Mailing Address
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Address Line | 401 W ASPEN AVE
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5305
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Country | US
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Telephone | 928-707-0942
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Fax |
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Authorized Official
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Title or Position | NURSE-MIDWIFE
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Name | LINDA HIGGINS
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Credential | CNM
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Telephone | 928-707-0942
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | AP3588
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License Number State | AZ
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