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General NPI Number Information
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NPI Number | 1144421223
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Entity Type | Individual
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Provider Name | GWENDOLYN SPEARS CNM
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 12021 WILMINGTON AVE T2-127
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City | LOS ANGELES
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State | CA
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Zip | 90059-3019
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Country | US
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Telephone | 310-668-5529
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Fax |
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Provider Business Mailing Address
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Address Line | 1755 VIA DEL REY
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-4127
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Country | US
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Telephone | 323-256-3754
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | NMW723
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License Number State | CA
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