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General NPI Number Information
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NPI Number | 1205410644
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Entity Type | Individual
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Provider Name | MICHELE P LABAS CNM
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Gender | Female
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 330 WESTERN BLVD STE 102
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City | GLASTONBURY
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State | CT
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Zip | 06033-4383
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Country | US
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Telephone | 860-547-0306
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Fax |
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Provider Business Mailing Address
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Address Line | 94 SYLVAN AVE
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City | WEST HARTFORD
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State | CT
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Zip | 06107-1735
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Country | US
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Telephone | 860-558-8682
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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 | 540
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License Number State | CT
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