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General NPI Number Information
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NPI Number | 1508293788
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Entity Type | Individual
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Provider Name | MIREILLE DORA ADELSON C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2013
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1600 EUREKA RD BLDG C ATTN: MIREILLE ADELSON, CNM DEPT OF BREAST HEALTH
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City | ROSEVILLE
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State | CA
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Zip | 95661
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Country | US
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Telephone | 916-474-2423
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 EUREKA RD BLDG C ATTN: MIREILLE ADELSON, CNM DEPT. OF BREAST HEALTH
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City | ROSEVILLE
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State | CA
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Zip | 95661-3027
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Country | US
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Telephone | 916-474-2423
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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 | F001551
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License Number State | NY
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