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NPI 1922987825

NPI 1922987825 : THE BIRTH COLLABORATIVE LAS VEGAS, LLC : LAS VEGAS, NV

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General NPI Number Information
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    NPI Number           |    1922987825
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE BIRTH COLLABORATIVE LAS VEGAS, LLC 
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Dates
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    Enumeration Date     |    08/27/2025
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    Last Update Date     |    08/27/2025
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Provider Practice Location Address
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    Address Line         |    1590 SOMBRERO DR 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89169-2523
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    Country              |    US
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    Telephone            |    702-524-9705
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1590 SOMBRERO DR 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89169-2523
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    Country              |    US
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    Telephone            |    702-524-9705
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    Fax                  |    
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |    MS. JOLLINA  SIMPSON 
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    Credential           |    
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    Telephone            |    702-524-9705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    174N00000X
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    Taxonomy Name        |    Lactation Consultant (Non-RN)
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    175M00000X
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    Taxonomy Name        |    Lay Midwife
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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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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