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NPI 1649470212

NPI 1649470212 : BIRTH AND FAMILY CENTER FOR COMMUNITY WELLNESS : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1649470212
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    Entity Type          |    Organization 
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    Legal Business Name  |    BIRTH AND FAMILY CENTER FOR COMMUNITY WELLNESS 
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Dates
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    Enumeration Date     |    07/23/2007
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    Last Update Date     |    07/23/2007
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Provider Practice Location Address
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    Address Line         |    131 SPRING ST 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-3827
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    Country              |    US
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    Telephone            |    207-773-3938
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    Fax                  |    207-772-1359
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Provider Business Mailing Address
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    Address Line         |    131 SPRING ST 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-3827
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    Country              |    US
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    Telephone            |    207-773-3938
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    Fax                  |    207-772-1359
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     SARAH MARGARET LEVY 
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    Credential           |    
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    Telephone            |    207-773-3938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    282NW0100X
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    Taxonomy Name        |    Women's Hospital
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    License Number       |    
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    License Number State |    
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