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General NPI Number Information
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NPI Number | 1891457909
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Entity Type | Organization
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Legal Business Name | MARIPOSA BIRTH CENTER
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Dates
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Enumeration Date | 10/06/2021
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Last Update Date | 10/06/2021
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Provider Practice Location Address
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Address Line | 830 ZION ST
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City | NEVADA CITY
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State | CA
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Zip | 95959-2923
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Country | US
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Telephone | 530-264-7174
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Fax | 530-362-4642
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Provider Business Mailing Address
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Address Line | 830 ZION ST
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City | NEVADA CITY
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State | CA
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Zip | 95959-2923
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Country | US
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Telephone | 530-264-7174
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Fax | 530-362-4642
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Authorized Official
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Title or Position | LICENSED MIDWIFE/CFO
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Name | LEAH LAROCHE-PAPERNO
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Credential | LM
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Telephone | 706-949-0559
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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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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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