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General NPI Number Information
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NPI Number | 1811611650
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Entity Type | Organization
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Legal Business Name | GRANNYS GIRLS BIRTH INITIATIVE
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 708 S 16TH ST
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City | LOUISVILLE
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State | KY
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Zip | 40210-1016
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Country | US
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Telephone | 502-905-2300
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Fax |
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Provider Business Mailing Address
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Address Line | 9003 MAPLE RD
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City | LOUISVILLE
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State | KY
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Zip | 40229-1411
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Country | US
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Telephone | 502-716-2711
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. ALEXA HUGHES
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Credential | DOULA
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Telephone | 502-716-2711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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