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General NPI Number Information
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NPI Number | 1144944166
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Entity Type | Individual
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Provider Name | HALEY BROOKE ZAHNER APRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 10/03/2022
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1150 LEXINGTON RD
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City | GEORGETOWN
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State | KY
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Zip | 40324-8300
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Country | US
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Telephone | 859-562-8599
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Fax | 859-257-1214
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Provider Business Mailing Address
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Address Line | PO BOX 772437
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City | DETROIT
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State | MI
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Zip | 48277-2437
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Country | US
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Telephone | 317-575-7304
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Fax | 317-575-7333
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041461647
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 3018528
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License Number State | KY
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