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General NPI Number Information
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NPI Number | 1225914997
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Entity Type | Organization
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Legal Business Name | WISE WOMEN HEALTH AND WELLNESS
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Dates
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Enumeration Date | 08/15/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 184 LUTZ AVE
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City | MARTINSBURG
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State | WV
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Zip | 25404-6359
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Country | US
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Telephone | 304-207-0507
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Fax | 304-398-8824
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Provider Business Mailing Address
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Address Line | 184 LUTZ AVE
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City | MARTINSBURG
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State | WV
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Zip | 25404-6359
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Country | US
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Telephone | 304-207-0507
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Fax | 304-398-8824
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Authorized Official
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Title or Position | OWNER
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Name | ANNA ELAINE KENT
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Credential | CNM
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Telephone | 304-886-9179
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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 |
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License Number State |
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