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General NPI Number Information
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NPI Number | 1003046681
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Entity Type | Individual
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Provider Name | TERRI ANN MCCORMICK CNM
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Gender | Female
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Dates
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Enumeration Date | 07/17/2009
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Last Update Date | 01/27/2021
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Provider Practice Location Address
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Address Line | 1575 HIGHLANDS DR SUITE 101
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City | LITITZ
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State | PA
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Zip | 17543-7507
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Country | US
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Telephone | 717-393-1338
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Fax | 717-293-4146
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Provider Business Mailing Address
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Address Line | 1575 HIGHLANDS DR SUITE 101
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City | LITITZ
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State | PA
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Zip | 17543-7507
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Country | US
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Telephone | 717-393-1338
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Fax | 717-293-4146
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN299382L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010052
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License Number State | PA
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