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General NPI Number Information
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NPI Number | 1356758924
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Entity Type | Individual
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Provider Name | JOANNA MCGRATH CNM
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Gender | Female
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Dates
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Enumeration Date | 07/16/2014
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Last Update Date | 11/10/2023
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Provider Practice Location Address
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Address Line | 599 SHORE RD STE 101
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City | SOMERS POINT
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State | NJ
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Zip | 08244-2400
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Country | US
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Telephone | 856-262-8300
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Fax | 856-262-1635
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Provider Business Mailing Address
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Address Line | 227 LAUREL RD STE 300
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City | VOORHEES
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State | NJ
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Zip | 08043-8303
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Country | US
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Telephone | 856-669-6025
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Fax | 856-651-0794
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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 | 25ME00055800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 26285
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License Number State | SC
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