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NPI 1215191622

NPI 1215191622 : VICTORIA H HEDLEY LM, CPM : MONTVALE, NJ

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General NPI Number Information
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    NPI Number           |    1215191622
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    Entity Type          |    Individual 
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    Provider Name        |    VICTORIA H HEDLEY LM, CPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/15/2008
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    Last Update Date     |    07/15/2008
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Provider Practice Location Address
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    Address Line         |    38 HIGHLAND RD 
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    City                 |    MONTVALE
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    State                |    NJ
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    Zip                  |    07645-2022
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    Country              |    US
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    Telephone            |    201-505-1214
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    38 HIGHLAND RD 
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    City                 |    MONTVALE
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    State                |    NJ
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    Zip                  |    07645-2022
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    Country              |    US
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    Telephone            |    201-505-1214
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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       |    25MW00000700
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    License Number State |    NJ
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