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General NPI Number Information
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NPI Number | 1912774118
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Entity Type | Organization
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Legal Business Name | GIBSON NEWBORN SERVICES, INC.
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Dates
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Enumeration Date | 12/07/2023
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Last Update Date | 12/07/2023
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Provider Practice Location Address
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Address Line | 9269 N 825 W
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City | WORTHINGTON
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State | IN
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Zip | 47471-6462
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Country | US
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Telephone | 214-790-3216
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Fax |
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Provider Business Mailing Address
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Address Line | 9269 N 825 W
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City | WORTHINGTON
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State | IN
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Zip | 47471-6462
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Country | US
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Telephone | 214-790-3216
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CORTNEY GIBSON
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Credential |
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Telephone | 214-790-3216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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