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General NPI Number Information
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NPI Number | 1508308230
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Entity Type | Organization
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Legal Business Name | NEVADA COUNTY HOME BIRTH
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Dates
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Enumeration Date | 11/11/2016
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Last Update Date | 11/11/2016
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Provider Practice Location Address
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Address Line | 13267 GRUNT HILL RD
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City | NEVADA CITY
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State | CA
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Zip | 95959-9474
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Country | US
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Telephone | 530-477-1154
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Fax | 619-924-7165
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Provider Business Mailing Address
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Address Line | PO BOX 453
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City | GRASS VALLEY
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State | CA
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Zip | 95945-0453
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Country | US
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Telephone | 530-477-1154
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Fax | 619-924-7165
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | ARIANA COHEN
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Credential | LM, CPM
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Telephone | 530-477-1154
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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 | LM445
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License Number State | CA
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