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General NPI Number Information
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NPI Number | 1508232844
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Entity Type | Organization
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Legal Business Name | SALMONBERRY COMMUNITY BIRTH CENTER LLC
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Dates
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Enumeration Date | 08/20/2015
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Last Update Date | 08/20/2015
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Provider Practice Location Address
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Address Line | 20696 BOND RD NE BLDG C, SUITE 110
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City | POULSBO
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State | WA
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Zip | 98370-9015
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Country | US
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Telephone | 360-779-0038
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Fax | 206-260-1261
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Provider Business Mailing Address
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Address Line | 20696 BOND RD NE BLDG C, SUITE 110
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City | POULSBO
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State | WA
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Zip | 98370-9015
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Country | US
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Telephone | 360-779-0038
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Fax | 206-260-1261
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Authorized Official
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Title or Position | OWNER/MIDWIFE
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Name | MS. MARGARET LOUISA WALES
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Credential | LM, CPM
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Telephone | 206-954-2622
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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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