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General NPI Number Information
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NPI Number | 1508304874
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Entity Type | Individual
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Provider Name | MELLISSA PULSIFER CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 09/13/2020
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Provider Practice Location Address
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Address Line | 109 BETHEL POINT RD
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City | HARPSWELL
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State | ME
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Zip | 04079-4401
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Country | US
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Telephone | 207-751-8176
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Fax | 207-480-7300
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Provider Business Mailing Address
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Address Line | 109 BETHEL POINT RD
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City | HARPSWELL
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State | ME
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Zip | 04079-4401
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Country | US
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Telephone | 207-751-8176
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Fax | 207-480-7300
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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 |
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License Number State |
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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 | CPM659
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License Number State | ME
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