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General NPI Number Information
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NPI Number | 1790481182
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Entity Type | Organization
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Legal Business Name | LILAC HEALTH MIDWIFERY GROUP OF ASHEVILLE
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Dates
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Enumeration Date | 02/06/2023
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Last Update Date | 06/01/2023
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Provider Practice Location Address
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Address Line | 390 S FRENCH BROAD AVE UNIT C
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City | ASHEVILLE
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State | NC
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Zip | 28801-4364
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Country | US
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Telephone | 828-970-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 390 S FRENCH BROAD AVE UNIT C
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City | ASHEVILLE
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State | NC
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Zip | 28801-4364
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Country | US
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Telephone | 828-970-5000
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Fax |
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Authorized Official
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Title or Position | ORGANIZING MEMBER AND OWNER
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Name | MS. GAZELLE LANGE
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Credential | CNM
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Telephone | 484-994-9196
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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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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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