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General NPI Number Information
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NPI Number | 1669820718
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Entity Type | Organization
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Legal Business Name | WISE BIRTH CHOICES LLC
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Dates
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Enumeration Date | 05/31/2016
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Last Update Date | 05/31/2016
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Provider Practice Location Address
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Address Line | 15 FLETCHER DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1404
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Country | US
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Telephone | 732-754-9551
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Fax |
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Provider Business Mailing Address
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Address Line | 15 FLETCHER DR
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City | MORGANVILLE
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State | NJ
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Zip | 07751-1404
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Country | US
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Telephone | 732-754-9551
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JILL S DILLNER
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Credential |
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Telephone | 732-754-9551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374K00000X
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Taxonomy Name | Religious Nonmedical Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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