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General NPI Number Information
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NPI Number | 1487737078
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Entity Type | Individual
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Provider Name | JOSEPHINE ANN RIOS APN CNM
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Gender | Female
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 11/10/2020
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Provider Practice Location Address
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Address Line | 303 E ARMY TRAIL ROAD SUITE 410A
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City | BLOOMINGDALE
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State | IL
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Zip | 60108
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Country | US
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Telephone | 630-893-8161
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Fax | 630-893-8564
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Provider Business Mailing Address
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Address Line | 303 E ARMY TRAIL RD SUITE 410A
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City | BLOOMINGDALE
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State | IL
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Zip | 60108-2169
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Country | US
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Telephone | 630-893-8161
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Fax | 630-893-8564
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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 | 209005364
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License Number State | IL
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