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General NPI Number Information
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NPI Number | 1952281487
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Entity Type | Organization
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Legal Business Name | WHOLISTIC BIRTH AND WELLNESS INC
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Dates
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Enumeration Date | 09/04/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 3355 COCHRAN ST STE 102
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2500
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Country | US
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Telephone | 661-347-8342
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Fax |
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Provider Business Mailing Address
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Address Line | 3355 COCHRAN ST STE 102
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City | SIMI VALLEY
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State | CA
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Zip | 93063-2500
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Country | US
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Telephone | 661-347-8342
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | ANDREA PONGO
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Credential | LM CPM
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Telephone | 661-347-8342
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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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