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General NPI Number Information
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NPI Number | 1629080007
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Entity Type | Organization
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Legal Business Name | BIRTH AND WOMENS CENTER
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 3100 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6025
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Country | US
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Telephone | 214-821-8190
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Fax | 214-821-9040
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Provider Business Mailing Address
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Address Line | 3100 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6025
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Country | US
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Telephone | 214-821-8190
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Fax | 214-821-9040
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Authorized Official
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Title or Position | DIRECTOR/CERTIFIED NURSE-MIDWIFE
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Name | CHERIE J. BOETTCHER
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Credential | CNM
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Telephone | 214-821-8190
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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 | 2-48188
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License Number State | TX
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