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General NPI Number Information
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NPI Number | 1841564234
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Entity Type | Organization
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Legal Business Name | THREE SISTERS MIDWIFERY LLC
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Dates
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Enumeration Date | 03/01/2012
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 235 W MAIN ST 2ND FLOOR
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City | JACKSONVILLE
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State | OR
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Zip | 97530-9278
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Country | US
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Telephone | 541-833-0999
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Fax | 541-899-6877
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Provider Business Mailing Address
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Address Line | PO BOX 1394
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City | JACKSONVILLE
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State | OR
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Zip | 97530-1394
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Country | US
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Telephone | 541-833-0999
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Fax | 541-899-6877
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Authorized Official
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Title or Position | PARTNER/LICENSED MIDWIFE
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Name | RHIONE ZEIXCHEL
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Credential | L.D.M.
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Telephone | 541-890-2768
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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 | 10118762
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License Number State | OR
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