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General NPI Number Information
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NPI Number | 1336204163
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Entity Type | Individual
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Provider Name | R. RENEE HALSTEAD CNM NP RN
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Gender | Female
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 722 MEDICAL CENTER DR E #101
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-297-9500
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Fax | 559-297-9572
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Provider Business Mailing Address
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Address Line | 722 MEDICAL CENTER DR E #101
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City | CLOVIS
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State | CA
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Zip | 93611
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Country | US
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Telephone | 559-297-9500
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Fax | 559-297-9572
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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 | NMW147
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License Number State |
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