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NPI 1548737554

NPI 1548737554 : ROSEVILLE BIRTHING CENTER : ROCKLIN, CA

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General NPI Number Information
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    NPI Number           |    1548737554
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    Entity Type          |    Organization 
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    Legal Business Name  |    ROSEVILLE BIRTHING CENTER 
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Dates
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    Enumeration Date     |    10/28/2018
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    6940 DESTINY DR 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95677-2987
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    Country              |    US
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    Telephone            |    916-786-6055
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    Fax                  |    916-786-6452
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Provider Business Mailing Address
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    Address Line         |    755 SUNRISE AVE STE 115 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-4583
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    Country              |    US
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    Telephone            |    916-786-6055
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    Fax                  |    916-786-6452
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    DR. TRISHA  WIMBS 
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    Credential           |    DC
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    Telephone            |    530-906-6844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    176B00000X
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    Taxonomy Name        |    Midwife
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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        |    207V00000X
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    Taxonomy Name        |    Obstetrics & Gynecology Physician
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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        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    
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    License Number State |    
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