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General NPI Number Information
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NPI Number | 1992113617
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Entity Type | Organization
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Legal Business Name | ZION BIRTHING MINISTRIES
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 7950 S MILITARY TRL 201
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City | LAKE WORTH
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State | FL
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Zip | 33463-8162
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Country | US
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Telephone | 561-330-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 7950 S MILITARY TRL 201
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City | LAKE WORTH
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State | FL
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Zip | 33463-8162
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Country | US
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Telephone | 561-330-0993
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CONNIE MULLEN
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Credential | LICENSED MIDWIFE
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Telephone | 561-330-0993
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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 | MW45
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License Number State | FL
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