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General NPI Number Information
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NPI Number | 1427339126
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Entity Type | Individual
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Provider Name | HANNAH MARIE GOTTSCHALL C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 08/25/2023
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Provider Practice Location Address
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Address Line | 209 MARTIN LUTHER KING JR WAY # 35645
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City | TACOMA
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State | WA
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Zip | 98405-4265
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Country | US
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Telephone | 253-596-3550
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Fax |
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Provider Business Mailing Address
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Address Line | 209 MARTIN LUTHER KING JR WAY
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City | TACOMA
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State | WA
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Zip | 98405-4265
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Country | US
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Telephone | 253-596-3550
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 041361811
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP60483967
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License Number State | WA
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