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General NPI Number Information
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NPI Number | 1477261345
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Entity Type | Individual
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Provider Name | QUINN LU O'LEARY CNM
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Gender | Female
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 21 GRAND ST
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City | HARTFORD
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State | CT
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Zip | 06106-1541
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Country | US
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Telephone | 406-539-3817
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 188
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City | MARANA
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State | AZ
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Zip | 85653-0188
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Country | US
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Telephone | 520-682-4111
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Fax | 520-818-3630
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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 | 556
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License Number State | CT
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