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General NPI Number Information
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NPI Number | 1114209368
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Entity Type | Individual
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Provider Name | CHERYL L RIDENBAUGH C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 09/14/2011
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44195-4503
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Country | US
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Telephone | 330-206-3304
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Fax |
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Provider Business Mailing Address
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Address Line | 9231 HORN RD
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City | WINDHAM
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State | OH
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Zip | 44288-1441
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Country | US
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Telephone | 330-206-3304
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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 | MW010252
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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 | APRN.CNM.13289
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License Number State | OH
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