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General NPI Number Information
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NPI Number | 1457581837
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Entity Type | Individual
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Provider Name | ANGELA DEAN CHISHOLM CNM
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Gender | Female
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Dates
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Enumeration Date | 07/21/2009
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 161 ALPINE DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8878
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Country | US
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Telephone | 502-317-6211
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Fax | 800-887-3154
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Provider Business Mailing Address
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Address Line | 524 1ST ST
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City | SHELBYVILLE
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State | KY
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Zip | 40065-1051
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Country | US
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Telephone | 541-602-7935
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Fax | 800-887-3154
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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 | 200950093NP
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License Number State | OR
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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 | 3015481
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License Number State | KY
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