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General NPI Number Information
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NPI Number | 1982982369
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Entity Type | Organization
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Legal Business Name | BIRTH AND BEYOND
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 08/02/2011
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Provider Practice Location Address
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Address Line | 479 HOUSTON ST
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City | GREEN COVE SPRINGS
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State | FL
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Zip | 32043-2411
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Country | US
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Telephone | 904-531-9504
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Fax | 904-531-9507
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Provider Business Mailing Address
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Address Line | PO BOX 380129
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City | GRANDIN
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State | FL
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Zip | 32138-0129
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANITA LENAS
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Credential |
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Telephone | 386-659-2104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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