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General NPI Number Information
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NPI Number | 1891310314
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Entity Type | Organization
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Legal Business Name | HEART TO HEART MIDWIFERY & WOMEN'S HEALTH LLC
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 1747 SMIZER STATION RD STE 1
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City | FENTON
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State | MO
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Zip | 63026-2784
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Country | US
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Telephone | 636-492-1633
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Fax |
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Provider Business Mailing Address
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Address Line | 1747 SMIZER STATION RD STE 1
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City | FENTON
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State | MO
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Zip | 63026-2784
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Country | US
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Telephone | 636-492-1633
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Fax |
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Authorized Official
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Title or Position | OWNER/PARTNER/CNM ADMINISTRATOR
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Name | LAUREN MICHELLE ULRICH
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Credential | CNM, MSN, APRN
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Telephone | 314-323-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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