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General NPI Number Information
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NPI Number | 1720991003
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Entity Type | Organization
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Legal Business Name | GEORGETOWN BIRTH CENTER, LLC
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Dates
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Enumeration Date | 09/25/2026
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Last Update Date | 09/25/2026
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Provider Practice Location Address
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Address Line | 100 EASTSIDE DR
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City | GEORGETOWN
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State | KY
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Zip | 40324-9797
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Country | US
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Telephone | 701-638-1372
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Fax |
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Provider Business Mailing Address
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Address Line | 100 EASTSIDE DR
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City | GEORGETOWN
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State | KY
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Zip | 40324-9797
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, CLINICAL DIRECTOR
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Name | ELIZABETH REGAN
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Credential | LCPM
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Telephone | 701-638-1372
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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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