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General NPI Number Information
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NPI Number | 1528934205
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Entity Type | Organization
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Legal Business Name | MAPLE & MOON MIDWIFERY
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 148 OWL AVE
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City | MARTINSBURG
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State | WV
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Zip | 25405-2401
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Country | US
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Telephone | 240-723-6575
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Fax |
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Provider Business Mailing Address
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Address Line | 148 OWL AVE
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City | MARTINSBURG
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State | WV
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Zip | 25405-2401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA DOMINIQUE GAGUI
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Credential |
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Telephone | 240-723-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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