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NPI 1942675434

NPI 1942675434 : MORNINGSTAR MIDWIFERY : BELFAST, ME

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General NPI Number Information
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    NPI Number           |    1942675434
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    Entity Type          |    Organization 
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    Legal Business Name  |    MORNINGSTAR MIDWIFERY 
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Dates
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    Enumeration Date     |    12/09/2015
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    Last Update Date     |    12/09/2015
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Provider Practice Location Address
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    Address Line         |    111 HIGH ST 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-6351
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    Country              |    US
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    Telephone            |    207-338-0708
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    Fax                  |    207-805-6477
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Provider Business Mailing Address
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    Address Line         |    111 HIGH ST 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-6351
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    Country              |    US
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    Telephone            |    207-338-0708
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    Fax                  |    207-805-6477
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. ELEANOR GODDARD DANIELS 
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    Credential           |    C.P.M.
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    Telephone            |    207-322-6464
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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       |    
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    License Number State |    
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