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General NPI Number Information
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NPI Number | 1932084241
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Entity Type | Organization
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Legal Business Name | MIRACLES FROM HEAVEN MIDWIFERY PLLC
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 415 N GUN BARREL LN
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-3731
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Country | US
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Telephone | 903-287-6160
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Fax | 903-459-4295
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Provider Business Mailing Address
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Address Line | 134 DEEP HARBOR DR
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-5373
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Country | US
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Telephone | 903-287-6160
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Fax | 903-459-4295
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Authorized Official
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Title or Position | MIDWIFE/OWNER
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Name | HEATHER MICHELLE GREEN
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Credential | CPM, LM
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Telephone | 903-287-6160
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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 |
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License Number State |
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