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General NPI Number Information
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NPI Number | 1831844760
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Entity Type | Organization
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Legal Business Name | LYNDEN BIRTH CENTER
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 200 3RD ST
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City | LYNDEN
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State | WA
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Zip | 98264-1411
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Country | US
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Telephone | 360-510-0188
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Fax | 844-411-7474
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Provider Business Mailing Address
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Address Line | 200 3RD ST
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City | LYNDEN
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State | WA
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Zip | 98264-1411
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Country | US
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Telephone | 360-510-0188
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Fax | 844-411-7474
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Authorized Official
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Title or Position | OWNER/MIDWIFE
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Name | MARY CATHERINE BURGESS
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Credential | LM, CPM, MA
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Telephone | 360-510-0188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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