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General NPI Number Information
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NPI Number | 1427114040
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Entity Type | Organization
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Legal Business Name | MOUNTAIN LAUREL MIDWIFERY ASSOCIATES PA
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 02/23/2012
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Provider Practice Location Address
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Address Line | 218 DOGGETT RD
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City | FOREST CITY
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State | NC
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Zip | 28043-8203
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Country | US
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Telephone | 828-248-1990
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Fax | 828-248-1198
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Provider Business Mailing Address
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Address Line | 218 DOGGETT RD
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City | FOREST CITY
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State | NC
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Zip | 28043-8203
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Country | US
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Telephone | 828-248-1990
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Fax | 828-248-1198
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Authorized Official
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Title or Position | CERTIFIED NURSE MIDWIFE
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Name | MS. PAMELA KING HESTER
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Credential | C.N.M.
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Telephone | 828-248-1990
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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 | 080
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License Number State | NC
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