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NPI 1851273635

NPI 1851273635 : GOLDEN HEART COMMUNITY MIDWIFERY LLC : FAIRBANKS, AK

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General NPI Number Information
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    NPI Number           |    1851273635
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    Entity Type          |    Organization 
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    Legal Business Name  |    GOLDEN HEART COMMUNITY MIDWIFERY LLC 
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Dates
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    Enumeration Date     |    07/23/2025
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    424 HENDERSON RD S # B 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99709-2415
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    Country              |    US
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    Telephone            |    907-799-0130
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    Fax                  |    844-501-6739
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Provider Business Mailing Address
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    Address Line         |    424 HENDERSON RD S # B 
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    City                 |    FAIRBANKS
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    State                |    AK
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    Zip                  |    99709-2415
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    Country              |    US
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    Telephone            |    907-799-0130
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    Fax                  |    844-501-6739
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Authorized Official
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    Title or Position    |    MIDWIFE/OWNER
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    Name                 |     MELANIE  SIPES 
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    Credential           |    CDM, CPM
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    Telephone            |    907-799-0130
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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       |    
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    License Number State |    
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