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NPI 1528799624

NPI 1528799624 : AHIMSA CHILDBIRTH SERVICES, INCORPORATED : MOORESVILLE, NC

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General NPI Number Information
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    NPI Number           |    1528799624
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    Entity Type          |    Organization 
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    Legal Business Name  |    AHIMSA CHILDBIRTH SERVICES, INCORPORATED 
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Dates
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    Enumeration Date     |    06/20/2022
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    Last Update Date     |    06/20/2022
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Provider Practice Location Address
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    Address Line         |    156 CAPITAL AVE APT 102 
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    City                 |    MOORESVILLE
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    State                |    NC
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    Zip                  |    28117-5635
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    Country              |    US
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    Telephone            |    862-621-3988
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    156 CAPITAL AVE APT 102 
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    City                 |    MOORESVILLE
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    State                |    NC
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    Zip                  |    28117-5635
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    Country              |    US
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    Telephone            |    862-621-3988
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     JAEDA  SYKES 
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    Credential           |    
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    Telephone            |    862-621-3988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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