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General NPI Number Information
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NPI Number | 1821340365
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Entity Type | Organization
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Legal Business Name | LIFESONG MIDWIFERY, INC.
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Dates
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Enumeration Date | 10/08/2012
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 5857 BABIAN RD
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City | NORTH PORT
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State | FL
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Zip | 34291-4655
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Country | US
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Telephone | 941-441-6410
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Fax |
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Provider Business Mailing Address
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Address Line | 5857 BABIAN RD
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City | NORTH PORT
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State | FL
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Zip | 34291-4655
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Country | US
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Telephone | 941-441-6410
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KRISTIN SCHUCHMANN
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Credential | CPM, LM
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Telephone | 941-441-6410
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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 | MW262
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License Number State | FL
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