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General NPI Number Information
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NPI Number | 1083614994
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Entity Type | Individual
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Provider Name | MARY T OBRIEN RN MSN CNM
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Gender | Female
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Dates
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Enumeration Date | 07/21/2005
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 230 MAPLE STREET SUITE 200 MIDWIFERY CARE OF HOLYOKE
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City | HOLYOKE
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State | MA
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Zip | 01040-6513
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Country | US
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Telephone | 413-535-4700
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Fax | 413-535-4704
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Provider Business Mailing Address
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Address Line | 260 NEW LUDLOW RD
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City | CHICOPEE
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State | MA
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Zip | 01020-4324
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Country | US
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Telephone | 413-533-3470
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Fax | 413-533-6859
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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 | 188081
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License Number State | MA
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