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General NPI Number Information
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NPI Number | 1518693936
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Entity Type | Organization
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Legal Business Name | BIRTH PARTNERS, INC
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Dates
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Enumeration Date | 07/27/2022
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 3832 N LINCOLN AVE
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City | CHICAGO
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State | IL
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Zip | 60613-3520
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Country | US
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Telephone | 773-232-2293
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Fax |
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Provider Business Mailing Address
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Address Line | 2107 CRIMSON LN
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City | BLOOMINGTON
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State | IL
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Zip | 61704-2742
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Country | US
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Telephone | 309-361-9199
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LAURA WIEGAND
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Credential |
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Telephone | 309-361-9199
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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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