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General NPI Number Information
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NPI Number | 1932508058
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Entity Type | Organization
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Legal Business Name | A LOVING START
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 3001 W. HALLANDALE BEACH BLVD SUITE 200
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City | HALLANDALE
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State | FL
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Zip | 33009-5158
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Country | US
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Telephone | 305-215-8763
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Fax | 305-397-2621
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Provider Business Mailing Address
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Address Line | 3001 W. HALLANDALE BEACH BLVD SUITE 200
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City | HALLANDALE
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State | FL
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Zip | 33009-5158
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Country | US
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Telephone | 305-215-8763
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Fax | 305-397-2621
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Authorized Official
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Title or Position | OWNER
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Name | MARY E HARRIS
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Credential | LM
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Telephone | 305-215-8763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW119
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License Number State | FL
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