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General NPI Number Information
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NPI Number | 1790373264
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Entity Type | Organization
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Legal Business Name | SEVEN SPRINGS MIDWIFERY PLLC
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Dates
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Enumeration Date | 01/09/2021
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Last Update Date | 01/09/2021
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Provider Practice Location Address
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Address Line | 2425 CLOVER ST
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City | ROCHESTER
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State | NY
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Zip | 14618-4517
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Country | US
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Telephone | 585-271-3323
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Fax | 585-271-3324
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Provider Business Mailing Address
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Address Line | 2425 CLOVER ST
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City | ROCHESTER
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State | NY
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Zip | 14618-4517
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Country | US
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Telephone | 585-271-3323
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Fax | 585-271-3324
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Authorized Official
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Title or Position | MEMBER
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Name | MS. MARTHA BOUDAKIAN
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Credential | CNM
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Telephone | 585-271-3323
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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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