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General NPI Number Information
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NPI Number | 1588788780
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Entity Type | Organization
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Legal Business Name | NATURAL BIRTH SERVICES, INC.
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9245 SW 157TH ST SUITE 106
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-1975
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Country | US
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Telephone | 305-378-0398
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Fax | 305-378-0387
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Provider Business Mailing Address
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Address Line | 9245 SW 157TH ST SUITE 106
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-1975
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Country | US
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Telephone | 305-378-0398
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Fax | 305-378-0387
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Authorized Official
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Title or Position | OWNER
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Name | GABRIELLE MARIE REBILLARD
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Credential | LM
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Telephone | 305-378-0398
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | 326
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License Number State | FL
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