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General NPI Number Information
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NPI Number | 1588851240
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Entity Type | Organization
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Legal Business Name | GENTLE BEGINNINGS BIRTH CENTER
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Dates
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Enumeration Date | 09/26/2007
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Last Update Date | 09/26/2007
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Provider Practice Location Address
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Address Line | 1817 HARWOOD CT
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City | HURST
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State | TX
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Zip | 76054-3190
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Country | US
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Telephone | 817-479-0124
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Fax | 817-428-9451
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Provider Business Mailing Address
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Address Line | 1817 HARWOOD CT
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City | HURST
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State | TX
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Zip | 76054-3190
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Country | US
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Telephone | 817-479-0124
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Fax | 817-428-9451
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Authorized Official
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Title or Position | CLINICAL DIRECTOR/ MIDWIFE
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Name | MRS. ANN CROWELL
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Credential | CPM, LM
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Telephone | 817-479-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 008494
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License Number State | TX
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