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General NPI Number Information
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NPI Number | 1518116623
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Entity Type | Individual
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Provider Name | DARLENE JOYCE ALLEN CNM
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Gender | Female
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Dates
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Enumeration Date | 09/12/2008
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 4201 ST ANTOINE STE 4C
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City | DETROIT
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State | MI
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Zip | 48201-2153
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Country | US
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Telephone | 313-745-4525
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Fax | 313-745-4399
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Provider Business Mailing Address
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Address Line | 1560 E MAPLE RD SUITE 400-CREDENTIALING
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City | TROY
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State | MI
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Zip | 48083-1189
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Country | US
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Telephone | 313-745-4525
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Fax | 313-745-4399
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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 | 4704134512
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License Number State | MI
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