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General NPI Number Information
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NPI Number | 1669111399
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Entity Type | Organization
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Legal Business Name | RENEWAL CENTER FOR BIRTH, LLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 16700 N THOMPSON PEAK PKWY STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2384
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Country | US
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Telephone | 480-454-4490
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Fax | 480-546-5433
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Provider Business Mailing Address
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Address Line | 16700 N THOMPSON PEAK PKWY STE 130
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City | SCOTTSDALE
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State | AZ
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Zip | 85260-2384
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Country | US
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Telephone | 480-454-4490
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Fax | 480-546-5433
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Authorized Official
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Title or Position | ADMINISTRATIVE AND MEDICAL DIRECTOR
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Name | DR. MICHELLE ANNE ARISTIZABAL
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Credential | MD
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Telephone | 602-330-9843
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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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