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General NPI Number Information
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NPI Number | 1952950677
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Entity Type | Organization
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Legal Business Name | FULL CIRCLE MIDWIFERY SERVICE, INC.
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 09/05/2019
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Provider Practice Location Address
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Address Line | 4220 E LOOP RD
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City | HESPERIA
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State | MI
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Zip | 49421-7502
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Country | US
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Telephone | 231-861-2234
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Fax | 517-579-0455
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Provider Business Mailing Address
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Address Line | 4220 E LOOP RD
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City | HESPERIA
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State | MI
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Zip | 49421-7502
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Country | US
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Telephone | 231-861-2234
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Fax | 517-579-0455
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Authorized Official
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Title or Position | SENIOR MIDWIFE
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Name | MS. PATRICE ELAINE BOBIER
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Credential | CPM, LM
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Telephone | 231-861-2234
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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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