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General NPI Number Information
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NPI Number | 1639514953
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Entity Type | Organization
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Legal Business Name | HEALING PASSAGES BIRTH & WELLNESS CENTER
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Dates
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Enumeration Date | 04/30/2013
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Last Update Date | 04/30/2013
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Provider Practice Location Address
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Address Line | 733 19TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1039
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Country | US
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Telephone | 515-266-6712
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Fax | 515-244-2333
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Provider Business Mailing Address
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Address Line | 733 19TH ST
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City | DES MOINES
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State | IA
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Zip | 50314-1039
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Country | US
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Telephone | 515-266-6712
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Fax | 515-244-2333
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Authorized Official
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Title or Position | OWNER/NURSE MIDWIFE
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Name | MRS. COSETTE KAE BOONE
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Credential | MS, ARNP, CNM
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Telephone | 515-266-6712
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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 |
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License Number State |
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