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General NPI Number Information
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NPI Number | 1437687191
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Entity Type | Organization
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Legal Business Name | STAND & DELIVER MIDWIFERY, LLC
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 02/04/2024
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Provider Practice Location Address
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Address Line | 975 ROYCE ST
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City | PENSACOLA
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State | FL
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Zip | 32503-2463
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Country | US
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Telephone | 850-361-7250
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Fax | 850-610-4277
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Provider Business Mailing Address
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Address Line | 975 ROYCE ST
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City | PENSACOLA
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State | FL
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Zip | 32503-2463
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Country | US
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Telephone | 850-361-7250
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Fax | 850-610-4277
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Authorized Official
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Title or Position | CO-OWNER/CNM
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Name | KERRY JO PHAM
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Credential | ARNP, CNM
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Telephone | 850-361-7250
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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 |
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License Number State |
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