|Taxonomy Code||Specialty Code||Provider Type|
|367A00000X||42||Certified Nurse Midwife|
|LBN Legal business name||COMMONSENSE CHILDBIRTH, INC.|
|Authorized official||JENNIE JOSEPH - (EXECUTIVE DIRECTOR)|
|Organization subpart 1||No|
|Last updated||05/05/2015 - More than a year ago|
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1335 WINTER GARDEN VINELAND RD
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