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General NPI Number Information
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NPI Number | 1538676861
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Entity Type | Organization
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Legal Business Name | ABBIE MULLINS - CHILDBIRTH EDUCATION & LACTATION, LLC
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 4440 CHANCELLOR DR
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City | DEWITT
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State | MI
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Zip | 48820-7861
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Country | US
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Telephone | 773-870-2899
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Fax | 517-381-6872
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Provider Business Mailing Address
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Address Line | 4440 CHANCELLOR DR
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City | DEWITT
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State | MI
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Zip | 48820-7861
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Country | US
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Telephone | 773-870-2899
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Fax | 517-381-6872
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ABIGAIL KARLENE MULLINS
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Credential | BSN, RNC, LCCE,IBCLC
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Telephone | 773-870-2899
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 4704251764
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License Number State | MI
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