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General NPI Number Information
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NPI Number | 1386719896
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Entity Type | Individual
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Provider Name | NICOLE PAVLIDES CNM
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Gender | Female
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 2595 N WYATT DR
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City | TUCSON
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State | AZ
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Zip | 85712-6104
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Country | US
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Telephone | 520-795-9912
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Fax | 520-795-9934
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Provider Business Mailing Address
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Address Line | 2595 N WYATT
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City | TUCSON
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State | AZ
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Zip | 85712
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Country | US
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Telephone | 520-795-9912
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Fax | 520-795-9934
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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 | RN176972
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | RN154574
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License Number State | AZ
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