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General NPI Number Information
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NPI Number | 1821860057
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Entity Type | Organization
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Legal Business Name | BIRTH ROOTS COMMUNITY MIDWIFERY: HOME BIRTH, EDUCATION, AND REPRODUCTI
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 115 N MARION ST STE 13
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City | OAK PARK
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State | IL
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Zip | 60301-1503
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Country | US
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Telephone | 708-669-4013
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Fax | 708-854-0648
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Provider Business Mailing Address
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Address Line | 115 N MARION ST STE 13
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City | OAK PARK
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State | IL
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Zip | 60301-1503
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Country | US
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Telephone | 708-669-4013
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Fax | 708-854-0648
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Authorized Official
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Title or Position | MIDWIFE, CO-OWNER
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Name | CORINNE RUTH WESTING
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Credential | CNM
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Telephone | 312-771-5699
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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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