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General NPI Number Information
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NPI Number | 1508190174
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Entity Type | Individual
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Provider Name | STEPHANIE MARIE SHILLING C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 09/29/2009
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 294 W STATE ROUTE 89A SUITE 209
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3754
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Country | US
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Telephone | 928-649-7899
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Fax | 928-649-7898
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Provider Business Mailing Address
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Address Line | PO BOX 1851
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City | COTTONWOOD
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State | AZ
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Zip | 86326-1851
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Country | US
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Telephone | 928-649-7899
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Fax | 928-649-7898
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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 | TAP3450
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License Number State | AZ
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