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General NPI Number Information
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NPI Number | 1760350631
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Entity Type | Organization
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Legal Business Name | CROWN OF GLORY BIRTH SERVICES LLC
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Dates
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Enumeration Date | 10/23/2025
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 4950 HAWTHORNE PL
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City | CHELSEA
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State | AL
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Zip | 35043
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Country | US
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Telephone | 205-894-1191
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Fax | 205-533-9798
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Provider Business Mailing Address
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Address Line | 60 CHELSEA CORS
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City | CHELSEA
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State | AL
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Zip | 35043-7401
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Country | US
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Telephone | 205-894-1191
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Fax | 205-533-9798
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Authorized Official
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Title or Position | CERTIFIED PROFESSIONAL MIDWIFE
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Name | NADIA RAQUAEL SMITH-GRAMBY
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Credential | LM,CPM
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Telephone | 205-894-1191
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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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