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General NPI Number Information
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NPI Number | 1114731627
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Entity Type | Individual
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Provider Name | COURTNEY MARIE DYER CNM/WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1600 W AVENUE J
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City | LANCASTER
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State | CA
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Zip | 93534-2814
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Country | US
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Telephone | 661-949-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 32510 FALLVIEW RD
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91361-5535
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Country | US
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Telephone | 818-519-1976
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 95032038
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 236518
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License Number State | CA
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