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General NPI Number Information
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NPI Number | 1134209927
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Entity Type | Individual
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Provider Name | JENNIFER HORCH CROMAR CNM, NP
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Gender | Female
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 880 LAS GALLINAS AVE STE 2
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City | SAN RAFAEL
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State | CA
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Zip | 94903-3437
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Country | US
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Telephone | 415-339-8813
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Fax | 415-339-8814
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Provider Business Mailing Address
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Address Line | 630 DRAKE AVE
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City | SAUSALITO
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State | CA
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Zip | 94965-1107
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Country | US
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Telephone | 415-339-8813
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Fax | 415-339-8814
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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 | 1580
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License Number State | CA
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