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General NPI Number Information
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NPI Number | 1871716324
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Entity Type | Organization
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Legal Business Name | SPOKANE MIDWIVES, PLLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 127 E. EUCLID AVE
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City | SPOKANE
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State | WA
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Zip | 99207-2022
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Country | US
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Telephone | 509-326-4366
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Fax | 509-328-9266
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Provider Business Mailing Address
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Address Line | 127 E. EUCLID AVE
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City | SPOKANE
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State | WA
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Zip | 99207-2022
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Country | US
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Telephone | 509-326-4366
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Fax | 509-328-9266
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | VICTORIA STICKELMEYER
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Credential | CPM, LM
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Telephone | 509-326-4366
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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 | MW00000174
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW00000229
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number | CBC-025
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License Number State | WA
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