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General NPI Number Information
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NPI Number | 1063105781
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Entity Type | Individual
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Provider Name | HALI DANAE LEDET CNM
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Gender | Female
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 02/09/2024
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Provider Practice Location Address
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Address Line | 3396 PERSHALL RD
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City | FERGUSON
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State | MO
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Zip | 63135
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Country | US
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Telephone | 337-501-2960
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Fax |
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Provider Business Mailing Address
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Address Line | 2355 S 10TH ST APT 1
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City | SAINT LOUIS
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State | MO
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Zip | 63104-4231
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Country | US
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Telephone | 337-501-2960
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2023035147
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License Number State | MO
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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 | 2023035148
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License Number State | MO
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