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General NPI Number Information
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NPI Number | 1508281130
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Entity Type | Organization
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Legal Business Name | QUETZAL CURRIE
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 02/18/2014
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Provider Practice Location Address
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Address Line | 40 HARRISON ST APT 31G
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City | NEW YORK
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State | NY
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Zip | 10013-2725
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Country | US
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Telephone | 646-541-3990
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Fax |
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Provider Business Mailing Address
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Address Line | 5135 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2002
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Country | US
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Telephone | 646-541-3990
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Fax |
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Authorized Official
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Title or Position | MIDWIFE, LACTATION CONSULTANT
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Name | MS. QUETZAL CURRIE
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Credential | LM, IBCLC
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Telephone | 646-541-3990
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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 | MW137
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License Number State | FL
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