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General NPI Number Information
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NPI Number | 1881932747
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Entity Type | Organization
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Legal Business Name | BABY BLISS BIRTHING SERVICES
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Dates
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Enumeration Date | 01/27/2013
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Last Update Date | 01/27/2013
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Provider Practice Location Address
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Address Line | 1209 ROSEWOOD DR
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City | TERRELL
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State | TX
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Zip | 75160-7854
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Country | US
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Telephone | 469-632-4840
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Fax | 972-584-9811
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Provider Business Mailing Address
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Address Line | 542 E HIGHWAY 64 LOT 53-3
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City | CANTON
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State | TX
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Zip | 75103-3311
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Country | US
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Telephone | 469-632-4840
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Fax | 972-584-9811
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Authorized Official
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Title or Position | MIDWIFE
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Name | PAMELA DYAN WRIGHT
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Credential | CPM, LM
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Telephone | 469-632-4840
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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 | 150025
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License Number State | TX
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