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General NPI Number Information
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NPI Number | 1649084930
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Entity Type | Organization
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Legal Business Name | BIRTHSIDE BEGINNINGS
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 3552 COLLINS BLVD STE D
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City | CHESAPEAKE
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State | VA
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Zip | 23321-5264
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Country | US
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Telephone | 757-234-9654
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Fax | 757-734-9954
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Provider Business Mailing Address
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Address Line | 167 MEADOWLARK LN
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City | SURRY
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State | VA
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Zip | 23883-2444
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Country | US
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Telephone | 757-234-9654
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | GENNETTE RUTHERFOORD HUBER, LM, CPM
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Credential | LM, CPM
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Telephone | 757-234-9654
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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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