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NPI 1649482217

NPI 1649482217 : WESTSIDE MIDWIFERY & WOMEN'S HEALTH, PC : BUTTE, MT

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General NPI Number Information
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    NPI Number           |    1649482217
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    Entity Type          |    Organization 
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    Legal Business Name  |    WESTSIDE MIDWIFERY & WOMEN'S HEALTH, PC 
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Dates
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    Enumeration Date     |    05/04/2007
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    Last Update Date     |    12/22/2015
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Provider Practice Location Address
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    Address Line         |    401 S ALABAMA ST SUITE 9
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    City                 |    BUTTE
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    State                |    MT
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    Zip                  |    59701-2315
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    Country              |    US
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    Telephone            |    406-723-8051
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    Fax                  |    406-723-8063
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Provider Business Mailing Address
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    Address Line         |    401 S ALABAMA ST SUITE 9
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    City                 |    BUTTE
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    State                |    MT
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    Zip                  |    59701-2315
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    Country              |    US
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    Telephone            |    406-723-8051
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    Fax                  |    406-723-8063
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     SUSAN  BURTON 
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    Credential           |    CNM, MS
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    Telephone            |    406-723-8051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    
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    License Number State |    
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