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General NPI Number Information
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NPI Number | 1841701968
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Entity Type | Organization
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Legal Business Name | MOMMY & ME PRENATAL CARE COORDINATION SERVICES
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Dates
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Enumeration Date | 10/16/2017
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Last Update Date | 10/16/2017
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Provider Practice Location Address
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Address Line | 9217 N 83RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53223-1038
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Country | US
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Telephone | 414-722-7667
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Fax | 414-979-0125
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Provider Business Mailing Address
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Address Line | 9217 N 83RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53223-1038
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Country | US
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Telephone | 414-722-7667
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Fax | 414-979-0125
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Authorized Official
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Title or Position | OWNER
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Name | CHAPPELLE DENEEN BRUNSON
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Credential |
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Telephone | 414-722-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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