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General NPI Number Information
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NPI Number | 1508637323
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Entity Type | Organization
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Legal Business Name | WOMB TO ROOM MIDWIFERY, PLLC
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Dates
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Enumeration Date | 01/10/2024
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Last Update Date | 01/10/2024
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Provider Practice Location Address
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Address Line | 128 14TH ST SE
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City | AUBURN
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State | WA
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Zip | 98002-6642
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Country | US
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Telephone | 808-371-1802
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Fax | 855-450-2148
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Provider Business Mailing Address
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Address Line | 27711 143RD PL SE
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City | KENT
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State | WA
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Zip | 98042-7403
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Country | US
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Telephone | 808-371-1802
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Fax |
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Authorized Official
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Title or Position | MIDWIFE/OWNER
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Name | JENNIFER LINSTAD
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Credential | MSM, LM, CPM
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Telephone | 808-371-1802
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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 |
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License Number State |
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