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General NPI Number Information
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NPI Number | 1730819509
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Entity Type | Organization
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Legal Business Name | PARK CITIES MIDWIFERY PLLC
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 8160 WALNUT HILL LN STE 316
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City | DALLAS
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State | TX
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Zip | 75231-4391
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Country | US
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Telephone | 972-885-8306
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Fax |
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Provider Business Mailing Address
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Address Line | 3204 GREENBRIER DR
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City | DALLAS
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State | TX
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Zip | 75225-4815
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Country | US
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Telephone | 662-801-4278
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Fax |
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Authorized Official
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Title or Position | OWNER/CNM
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Name | KARA MICHELLE SIMONTON
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Credential | CNM
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Telephone | 662-801-4278
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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 |
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License Number State |
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