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General NPI Number Information
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NPI Number | 1285425272
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Entity Type | Individual
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Provider Name | TAYLOR MICHELLE LOUISE FRY CNM
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Gender | Female
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 1700 TUTTLE ST
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City | BARABOO
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State | WI
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Zip | 53913-3319
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Country | US
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Telephone | 608-355-3800
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Fax | 608-355-7004
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Provider Business Mailing Address
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Address Line | 636 GERRY ST
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City | WOODSTOCK
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State | IL
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Zip | 60098-3652
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Country | US
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Telephone | 815-307-1722
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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 |
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License Number State |
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