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General NPI Number Information
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NPI Number | 1962893727
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Entity Type | Organization
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Legal Business Name | SC MIDWIFE, INC
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Dates
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Enumeration Date | 02/13/2015
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 850 FLOYD ROAD EXT
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City | SPARTANBURG
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State | SC
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Zip | 29307-1048
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Country | US
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Telephone | 864-415-3815
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Fax |
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Provider Business Mailing Address
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Address Line | 850 FLOYD ROAD EXT
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City | SPARTANBURG
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State | SC
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Zip | 29307-1048
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Country | US
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Telephone | 864-415-3815
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDA WEAVER
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Credential | LM, CPM
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Telephone | 864-415-3815
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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 | LMW-029
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License Number State | SC
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