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General NPI Number Information
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NPI Number | 1346645728
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Entity Type | Individual
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Provider Name | JENNIFER PIA CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 10/28/2014
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 948 STEVENS DR
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City | RICHLAND
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State | WA
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Zip | 99352-3547
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Country | US
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Telephone | 509-905-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 245 BROADMOOR ST
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City | RICHLAND
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State | WA
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Zip | 99352-9606
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Country | US
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Telephone | 802-249-3021
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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 | 107.0107717
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License Number State | VT
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