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General NPI Number Information
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NPI Number | 1871387225
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Entity Type | Organization
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Legal Business Name | ROSE CITY BIRTH CENTER
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2050 SHILOH RD
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City | TYLER
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State | TX
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Zip | 75703-2612
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Country | US
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Telephone | 903-803-2229
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Fax | 903-385-4195
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Provider Business Mailing Address
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Address Line | 514 S FANNIN AVE
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City | TYLER
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State | TX
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Zip | 75702-8203
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | HEATHER N ADAMS
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Credential | LM, CPM
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Telephone | 903-803-2229
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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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