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General NPI Number Information
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NPI Number | 1861193807
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Entity Type | Organization
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Legal Business Name | OCEANSIDE MIDWIVES
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Dates
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Enumeration Date | 03/16/2023
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 802 41ST AVE S # 109
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-5155
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Country | US
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Telephone | 843-273-6304
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Fax | 843-419-8818
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Provider Business Mailing Address
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Address Line | 802 41ST AVE S STE 109
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City | NORTH MYRTLE BEACH
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State | SC
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Zip | 29582-5155
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Country | US
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Telephone | 843-273-6304
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Fax | 843-419-8818
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Authorized Official
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Title or Position | MIDWIFE/OWNER
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Name | AUDREY ANNE TREPICCIONE
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Credential | CPM, LM
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Telephone | 843-273-6304
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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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