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General NPI Number Information
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NPI Number | 1912024787
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Entity Type | Organization
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Legal Business Name | HERITAGE MIDWIFERY CARE, INC
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 555 VERDOS DR
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City | ELIZABETH
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State | CO
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Zip | 80107-8547
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Country | US
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Telephone | 303-646-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 555 VERDOS DR
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City | ELIZABETH
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State | CO
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Zip | 80107-8547
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Country | US
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Telephone | 303-646-1350
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JEAN DHORITY
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Credential | CPM
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Telephone | 303-646-1350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 3511257
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License Number State | CO
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