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General NPI Number Information
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NPI Number | 1144210675
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Entity Type | Individual
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Provider Name | KATHLEEN DENISE MCCARTHY CNM
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 1508 W 7TH ST
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City | WILMINGTON
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State | DE
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Zip | 19805-3110
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Country | US
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Telephone | 302-658-2229
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Fax | 302-658-2382
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Provider Business Mailing Address
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Address Line | 2300 GARFIELD AVE WILMINGTON
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City | WILMINGTON
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State | DE
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Zip | 19809-1212
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Country | US
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Telephone | 302-658-2229
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Fax | 302-658-2382
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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 | LK0000120
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License Number State | DE
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