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General NPI Number Information
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NPI Number | 1902262868
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Entity Type | Organization
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Legal Business Name | HEALTHCARE BOUTIQUE PLLC
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Dates
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Enumeration Date | 01/07/2016
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 611 S TRADE DAYS BLVD
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City | CANTON
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State | TX
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Zip | 75103-1825
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Country | US
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Telephone | 903-508-2728
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Fax |
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Provider Business Mailing Address
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Address Line | 611 S TRADE DAYS BLVD
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City | CANTON
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State | TX
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Zip | 75103-1825
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Country | US
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Telephone | 903-508-2728
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROBIN FINCHER
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Credential | CNM
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Telephone | 903-508-2728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP113761
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License Number State | TX
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