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General NPI Number Information
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NPI Number | 1548055668
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Entity Type | Organization
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Legal Business Name | MOTHER'S BIRTH LLC
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 5838 OVERHILL DR STE 3
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City | LOS ANGELES
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State | CA
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Zip | 90043-2738
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Country | US
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Telephone | 323-672-6184
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Fax |
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Provider Business Mailing Address
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Address Line | 6329 CLYBOURN AVE APT 236
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-3977
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Country | US
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Telephone | 323-672-6184
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NYKEA WITHERSPOON
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Credential |
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Telephone | 323-672-6184
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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