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General NPI Number Information
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NPI Number | 1730583642
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Entity Type | Organization
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Legal Business Name | HOLISTIC SOUTH PREGNANCY & BIRTH CENTER
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Dates
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Enumeration Date | 10/21/2014
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 9275 SW 152ND ST STE 100
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1773
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Country | US
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Telephone | 305-498-6722
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Fax | 305-446-2683
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Provider Business Mailing Address
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Address Line | 9275 SW 152ND ST STE 100
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City | PALMETTO BAY
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State | FL
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Zip | 33157-1773
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Country | US
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Telephone | 305-498-6722
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Fax | 305-446-2683
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Authorized Official
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Title or Position | FOUNDER/OPERATIONS DIRECTOR
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Name | MS. DEBRA GEYMAYR
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Credential |
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Telephone | 305-498-6722
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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 | FL
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