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General NPI Number Information
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NPI Number | 1033197884
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Entity Type | Individual
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Provider Name | JANE CAROL VESEL DNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 01/03/2006
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 1000 EDGEWATER PT STE 200
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City | LAKE ST LOUIS
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State | MO
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Zip | 63367-2954
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Country | US
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Telephone | 636-561-8088
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Fax | 636-561-1405
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Provider Business Mailing Address
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Address Line | PO BOX 1594 141 S. KINGS RD
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City | LAKE SHERWOOD
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State | MO
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Zip | 63357-8594
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Country | US
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Telephone | 618-292-6244
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN.386924-COA1
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 90856-030
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2016012520
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | RN109919
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 041-337801
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License Number State | IL
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 14095-NM
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License Number State | OH
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Taxonomy #7
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1410-033
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License Number State | WI
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Taxonomy #8
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 2017008466
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 209-004836
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License Number State | IL
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