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General NPI Number Information
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NPI Number | 1285135459
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Entity Type | Individual
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Provider Name | CIARA SHANK CNM
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Gender | Female
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4310 LONDONDERRY RD STE 101
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City | HARRISBURG
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State | PA
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Zip | 17109-5333
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Country | US
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Telephone | 717-652-6605
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Fax | 717-652-6431
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Provider Business Mailing Address
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Address Line | 4310 LONDONDERRY RD STE 101
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City | HARRISBURG
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State | PA
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Zip | 17109-5333
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Country | US
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Telephone | 717-652-6605
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Fax | 717-652-6431
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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 | APRN.CNM.019351
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | SP023952
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW010500
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License Number State | PA
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