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General NPI Number Information
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NPI Number | 1518007814
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Entity Type | Organization
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Legal Business Name | BIRTH BY DESIGN, LLC
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14158 CLUBHOUSE RD
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City | GAINESVILLE
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State | VA
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Zip | 20155-3808
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Country | US
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Telephone | 703-754-4543
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Fax | 888-770-0243
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Provider Business Mailing Address
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Address Line | 14158 CLUBHOUSE RD
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City | GAINESVILLE
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State | VA
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Zip | 20155-3808
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Country | US
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Telephone | 703-754-4543
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Fax | 888-770-0243
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Authorized Official
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Title or Position | OWNER
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Name | MRS. PEGGY LEE FRANKLIN
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Credential | RN, CPM
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Telephone | 703-754-4345
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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 | 0129000006
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License Number State | VA
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