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General NPI Number Information
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NPI Number | 1164411906
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Entity Type | Individual
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Provider Name | MARTHA E MERRILL-HALL CNM
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Gender | Female
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Dates
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Enumeration Date | 10/14/2005
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Last Update Date | 06/26/2020
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Provider Practice Location Address
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Address Line | 1960 OGDEN ST SUITE320
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City | DENVER
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State | CO
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Zip | 80218-3666
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Country | US
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Telephone | 303-318-2620
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Fax | 303-318-2629
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Provider Business Mailing Address
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Address Line | 500 ELDORADO BLVD SUITE 6250
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City | BROOMFIELD
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State | CO
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Zip | 80021-3408
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Country | US
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Telephone | 303-272-0751
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Fax | 303-318-2488
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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 | 235953
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License Number State | CA
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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 | 51684
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License Number State | CO
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