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General NPI Number Information
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NPI Number | 1487001681
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Entity Type | Individual
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Provider Name | JAMIE DELLESKY
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Gender | Female
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 563 MELROSE AVE
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City | COLUMBUS
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State | OH
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Zip | 43202-1307
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Country | US
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Telephone | 412-218-9047
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Fax |
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Provider Business Mailing Address
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Address Line | 563 MELROSE AVE
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City | COLUMBUS
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State | OH
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Zip | 43202-1307
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Country | US
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Telephone | 412-218-9047
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 15090008
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 151522R
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License Number State | NM
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