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General NPI Number Information
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NPI Number | 1538592472
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Entity Type | Organization
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Legal Business Name | BIRTH YOUR WAY BIRTH CENTER - AN INTERNATIONAL MIDWIFERY PRACTICE
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 12152 BRYANT ST
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City | YUCAIPA
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State | CA
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Zip | 92399-4478
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Country | US
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Telephone | 951-263-9666
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Fax | 909-797-6849
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Provider Business Mailing Address
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Address Line | 12152 BRYANT ST PO BOX 942
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City | YUCAIPA
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State | CA
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Zip | 92399-4478
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Country | US
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Telephone | 951-263-9666
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Fax | 909-797-6849
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Authorized Official
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Title or Position | ADVANCED PRACTICE MIDWIFE
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Name | MRS. MARIA ANGELA KING
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Credential | CNM
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Telephone | 951-263-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 1593
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | 1593
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License Number State | CA
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