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General NPI Number Information
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NPI Number | 1326486408
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Entity Type | Individual
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Provider Name | SHIRA R ROSENBAUM-ROLLER CNM
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Gender | Female
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 03/16/2015
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Provider Practice Location Address
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Address Line | 2301 E EVESHAM RD BUILDING 800, SUITE 122
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City | VOORHEES
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State | NJ
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Zip | 08043-4501
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Country | US
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Telephone | 856-770-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 404 KENNEBEC RD
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City | CHERRY HILL
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State | NJ
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Zip | 08002-1633
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Country | US
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Telephone | 917-683-3613
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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