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General NPI Number Information
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NPI Number | 1124657879
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Entity Type | Individual
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Provider Name | AMY MICHAELSON-RATCLIFFE L.M., C.P.M.
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Gender | Female
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Dates
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Enumeration Date | 04/05/2020
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Last Update Date | 04/05/2020
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Provider Practice Location Address
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Address Line | 286 MCPHERSON RD
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City | SOUTH MILLS
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State | NC
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Zip | 27976-9555
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Country | US
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Telephone | 757-995-6739
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Fax |
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Provider Business Mailing Address
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Address Line | 286 MCPHERSON RD
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City | SOUTH MILLS
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State | NC
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Zip | 27976-9555
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Country | US
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Telephone |
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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 | 0129-000154
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License Number State | VA
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