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General NPI Number Information
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NPI Number | 1134538341
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Entity Type | Individual
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Provider Name | WHITNEY FIELDS MIRVIS RN, MSN,CNM, IBCIC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 3535 OLENTANGY RIVER RD 1ST FLOOR YELLOW
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City | COLUMBUS
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State | OH
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Zip | 43214-3908
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Country | US
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Telephone | 614-566-5094
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Fax | 614-566-5094
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Provider Business Mailing Address
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Address Line | 3535 OLENTANGY RIVER RD WOMEN'S CENTER
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City | COLUMBUS
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State | OH
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Zip | 43214-3908
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Country | US
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Telephone | 614-566-5094
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Fax | 614-566-1869
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN 142265
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | COA 17730-NP
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | COA 17732-NM
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License Number State | OH
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