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General NPI Number Information
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NPI Number | 1609265073
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Entity Type | Organization
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Legal Business Name | FAITH IN BIRTH MIDWIFERY
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 12/30/2016
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Provider Practice Location Address
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Address Line | 17012 KING RD
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City | MINERAL POINT
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State | WI
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Zip | 53565-8649
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Country | US
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Telephone | 608-574-5852
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Fax |
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Provider Business Mailing Address
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Address Line | 17012 KING RD
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City | MINERAL POINT
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State | WI
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Zip | 53565-8649
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Country | US
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Telephone | 608-574-5852
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE MARIE ATKINSON
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Credential | CPM, LM
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Telephone | 608-574-5852
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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 | 93-49
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License Number State | WI
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