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General NPI Number Information
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NPI Number | 1265477905
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Entity Type | Individual
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Provider Name | HENRIETTA T. CLEWS CNM
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Gender | Female
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 08/21/2009
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Provider Practice Location Address
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Address Line | 250 EAST BLUE HILL ROAD
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City | BLUE HILL
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State | ME
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Zip | 04614
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Country | US
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Telephone | 207-374-2473
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Fax | 866-667-9612
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Provider Business Mailing Address
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Address Line | PO BOX 179
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City | BLUE HILL
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State | ME
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Zip | 04614-0179
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Country | US
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Telephone | 207-374-2473
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Fax | 866-667-9612
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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 | R022802
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License Number State | ME
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