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General NPI Number Information
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NPI Number | 1700364601
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Entity Type | Organization
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Legal Business Name | NIGHTINGALE BIRTH, INC.
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 327 N SAN MATEO DR STE 4
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City | SAN MATEO
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State | CA
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Zip | 94401-2585
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Country | US
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Telephone | 650-731-5191
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Fax | 650-731-5191
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Provider Business Mailing Address
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Address Line | 1960 15TH ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1728
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Country | US
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Telephone | 650-731-5191
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Fax | 650-731-5191
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Authorized Official
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Title or Position | CEO
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Name | FIREN MICHELLE JONES
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Credential | LM, CPM
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Telephone | 650-731-5191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | LM413
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License Number State | CA
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