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Organization

BIRTH OUTSIDE THE BOX LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM PEKIN (MEMBER)
(240) 422-3889
Entity
Organization

Contact information

Practice address
17232 PICKWICK DR, PURCELLVILLE, VA 20132-3100
(240) 422-3889
Mailing address
17232 PICKWICK DR, PURCELLVILLE, VA 20132-3100
(240) 422-3889

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000052
VA

Other

Enumeration date
02/02/2015
Last updated
02/02/2015
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