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General NPI Number Information
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NPI Number | 1992359269
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Entity Type | Organization
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Legal Business Name | MIDWIVES ORGANIZED TO HELP ESTABLISH SELF RELIANCE
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 5700 E IRLO BRONSON MEMORIAL HWY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8717
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Country | US
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Telephone | 913-683-3874
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Fax |
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Provider Business Mailing Address
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Address Line | 5700 E IRLO BRONSON MEMORIAL HWY
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8717
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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 | REGISTERED AGENT
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Name | BROOKE SCHMOE
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Credential | LM, CPM
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Telephone | 913-683-3874
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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 |
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License Number State |
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