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General NPI Number Information
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NPI Number | 1194521294
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Entity Type | Individual
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Provider Name | SEDONA KOLCHINSKY
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Gender | Female
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Dates
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Enumeration Date | 02/20/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 7708 4TH ST NW
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City | LOS RANCHOS
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State | NM
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Zip | 87107-6510
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Country | US
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Telephone | 150-592-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 8100 BARSTOW ST NE APT 11202
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City | ALBUQUERQUE
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State | NM
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Zip | 87122-2872
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Country | US
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Telephone | 856-437-9535
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 907
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | CNM09996
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License Number State | NY
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