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General NPI Number Information
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NPI Number | 1932329810
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Entity Type | Organization
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Legal Business Name | HEART'S DESIRE MIDWIFERY CARE
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 226 LEE STREET
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City | PEASTER
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State | TX
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Zip | 76485
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Country | US
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Telephone | 972-896-8841
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 80
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City | PEASTER
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State | TX
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Zip | 76485-0080
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Country | US
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Telephone | 972-896-8841
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MOLLY GERMASH
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Credential | LM, CPM
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Telephone | 972-896-8841
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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 | 008495
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License Number State | TX
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