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General NPI Number Information
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NPI Number | 1912146440
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS MIDWIFERY INC
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Dates
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Enumeration Date | 02/06/2009
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Last Update Date | 06/09/2009
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Provider Practice Location Address
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Address Line | 476 HIGHWAY A1A STE 2A
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-2331
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Country | US
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Telephone | 321-779-0687
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Fax |
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Provider Business Mailing Address
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Address Line | 439 WILSON AVE
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City | SATELLITE BEACH
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State | FL
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Zip | 32937-2937
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Country | US
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Telephone | 321-779-0687
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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. KATHLEEN C. JOHNSON
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Credential | ARNP, CNM
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Telephone | 321-799-0687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ARNP1949352
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License Number State | FL
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