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NPI 1235169137

NPI 1235169137 : BRIGID MULLOY CNM : KAUNAKAKAI, HI

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General NPI Number Information
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    NPI Number           |    1235169137
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    Entity Type          |    Individual 
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    Provider Name        |    BRIGID MULLOY CNM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/04/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    280 HOMEOLU PLACE 
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    City                 |    KAUNAKAKAI
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    State                |    HI
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    Zip                  |    96748
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    Country              |    US
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    Telephone            |    808-553-5331
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    Fax                  |    808-553-3133
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Provider Business Mailing Address
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    Address Line         |    PO BOX 280 
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    City                 |    KAUNAKAKAI
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    State                |    HI
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    Zip                  |    96748-0280
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    Country              |    US
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    Telephone            |    808-553-3160
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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        |    367A00000X
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    Taxonomy Name        |    Advanced Practice Midwife
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    License Number       |    APRN154
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    License Number State |    HI
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