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General NPI Number Information
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NPI Number | 1023484839
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Entity Type | Individual
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Provider Name | HILLARY BRASS CNM
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Gender | Female
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Dates
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Enumeration Date | 08/15/2015
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Last Update Date | 08/15/2015
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Provider Practice Location Address
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Address Line | 29751 LITTLE MACK AVE SUITE B
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City | ROSEVILLE
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State | MI
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Zip | 48066-6503
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Country | US
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Telephone | 586-415-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 1378 SOMERSET AVE
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City | GROSSE POINTE PARK
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State | MI
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Zip | 48230-1031
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Country | US
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Telephone | 260-668-6730
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Fax |
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704315305
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License Number State | MI
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