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General NPI Number Information
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NPI Number | 1114525029
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Entity Type | Individual
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Provider Name | TRICIA CARLISLE LM, CPM
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Gender | Female
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Dates
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Enumeration Date | 10/13/2020
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 2500 W WILLIAM CANNON DR STE 503
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City | AUSTIN
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State | TX
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Zip | 78745-5286
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Country | US
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Telephone | 512-243-8066
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Fax |
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Provider Business Mailing Address
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Address Line | 8401 CAYUGA DR
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City | AUSTIN
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State | TX
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Zip | 78749-3926
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Country | US
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Telephone | 720-705-1276
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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