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General NPI Number Information
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NPI Number | 1902833668
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Entity Type | Organization
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Legal Business Name | BIRTH & BEYOND P A
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 1326 STATE ROAD 100
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City | GRANDIN
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State | FL
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Zip | 32138
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Country | US
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Telephone | 386-659-2104
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 380129
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City | GRANDIN
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State | FL
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Zip | 32138-0129
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Country | US
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Telephone | 386-659-2104
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Fax |
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Authorized Official
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Title or Position | OWNER ADMINISTRATOR CLINICIAN
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Name | ANITA LENAS
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Credential | ARNP
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Telephone | 386-659-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP796842
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP796842
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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