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General NPI Number Information
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NPI Number | 1891359550
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Entity Type | Organization
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Legal Business Name | RIVER CITY BIRTH CENTER
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 04/29/2019
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Provider Practice Location Address
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Address Line | 6219 LAKESIDE AVE
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City | RICHMOND
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State | VA
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Zip | 23228-5238
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Country | US
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Telephone | 804-601-6992
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Fax |
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Provider Business Mailing Address
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Address Line | 6219 LAKESIDE AVE
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City | RICHMOND
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State | VA
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Zip | 23228-5238
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Country | US
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Telephone | 804-601-6992
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | MRS. LINSEY KORNYA
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Credential | CPM
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Telephone | 804-601-6992
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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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