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General NPI Number Information
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NPI Number | 1720245285
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Entity Type | Organization
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Legal Business Name | EVERYDAY BLESSINGS MIDWIFERY PLLC
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 500 S JACKSON ST
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City | JACKSON
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State | MI
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Zip | 49203-1709
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Country | US
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Telephone | 517-796-1398
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Fax | 517-796-8057
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Provider Business Mailing Address
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Address Line | 500 S JACKSON ST
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City | JACKSON
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State | MI
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Zip | 49203-1709
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Country | US
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Telephone | 517-796-1398
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Fax | 517-796-8057
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHLEEN A V LAVERY
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Credential | CNM
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Telephone | 517-796-1398
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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 | 4704183182
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License Number State | MI
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