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General NPI Number Information
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NPI Number | 1780136143
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Entity Type | Organization
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Legal Business Name | THRIVE MIDWIVES LLC
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Dates
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Enumeration Date | 11/01/2016
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Last Update Date | 11/01/2016
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Provider Practice Location Address
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Address Line | 3226 19TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-2402
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Country | US
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Telephone | 763-350-6909
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Fax | 763-710-8141
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Provider Business Mailing Address
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Address Line | 3226 19TH AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-2402
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Country | US
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Telephone | 763-350-6909
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Fax | 763-710-8141
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Authorized Official
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Title or Position | CERTIFIED NURSE-MIDWIFE
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Name | KARI M MICHALSKI
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Credential | APRN CNM
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Telephone | 763-350-6909
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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 | R1478288
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License Number State | MN
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