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General NPI Number Information
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NPI Number | 1750162442
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Entity Type | Organization
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Legal Business Name | NEW BIRTH WELLNESS CENTER
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1580 WHITE OAK DR STE 275
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City | CHASKA
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State | MN
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Zip | 55318-2927
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Country | US
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Telephone | 952-856-0071
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Fax | 651-760-4303
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Provider Business Mailing Address
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Address Line | 1580 WHITE OAK DR STE 275
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City | CHASKA
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State | MN
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Zip | 55318-2927
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Country | US
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Telephone | 952-856-0071
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Fax | 651-760-4303
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Authorized Official
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Title or Position | OWNER, EXECUTIVE DIRECTOR
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Name | JENNIFER JOY HALL
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Credential | CPM, LM
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Telephone | 952-358-0010
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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 |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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