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General NPI Number Information
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NPI Number | 1912239229
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Entity Type | Organization
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Legal Business Name | HEAVENLY HANDS BIRTHING CENTER, PLLC
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Dates
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Enumeration Date | 02/11/2010
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Last Update Date | 11/11/2013
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Provider Practice Location Address
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Address Line | 908 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2231
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Country | US
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Telephone | 214-621-0859
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Fax | 972-771-4262
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Provider Business Mailing Address
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Address Line | 908 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2231
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Country | US
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Telephone | 214-621-0859
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Fax | 972-771-4262
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Authorized Official
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Title or Position | MIDWIFE
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Name | TINA DEE ROWE
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Credential | CPM, LM
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Telephone | 214-621-0859
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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 | 150004
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License Number State | TX
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