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General NPI Number Information
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NPI Number | 1699919720
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Entity Type | Organization
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Legal Business Name | GENESIS FAMILY MIDWIFERY
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Dates
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Enumeration Date | 04/20/2009
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 28379 DAVIS PKWY STE 801
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City | WARRENVILLE
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State | IL
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Zip | 60555-3032
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Country | US
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Telephone | 630-393-9800
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Fax | 630-393-0499
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Provider Business Mailing Address
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Address Line | 5609 WESTVIEW LN
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City | LISLE
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State | IL
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Zip | 60532-2786
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Country | US
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Telephone | 630-393-9800
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Fax | 630-393-0499
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CHRISTINA A OSER
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Credential | CNM, WHNP
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Telephone | 630-393-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 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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