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General NPI Number Information
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NPI Number | 1992165294
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Entity Type | Organization
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Legal Business Name | NU LIFE MIDWIFERY
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Dates
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Enumeration Date | 02/29/2016
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Last Update Date | 02/29/2016
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Provider Practice Location Address
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Address Line | 7479 GATHERING LOOP
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City | REUNION
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State | FL
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Zip | 34747-6702
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Country | US
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Telephone | 352-598-4703
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Fax | 813-433-5571
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Provider Business Mailing Address
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Address Line | 7479 GATHERING LOOP
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City | REUNION
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State | FL
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Zip | 34747-6702
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Country | US
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Telephone | 352-598-4703
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Fax | 813-433-5571
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Authorized Official
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Title or Position | MIDWIFE
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Name | MRS. BRENDA FRANCIS
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Credential | LM, CPM
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Telephone | 352-598-4703
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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 | MW299
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License Number State | FL
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