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General NPI Number Information
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NPI Number | 1528775129
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Entity Type | Individual
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Provider Name | MARLEE ELIZABETH ADAMS LM, CPM, MSM
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Gender | Female
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Dates
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Enumeration Date | 11/02/2022
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 4677 VALLEY EAST BLVD # 2
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City | ARCATA
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State | CA
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Zip | 95521-4630
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Country | US
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Telephone | 360-901-9349
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2490
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-2490
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Country | US
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Telephone | 360-901-9349
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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 | MW61361341
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License Number State | WA
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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 | MW706
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License Number State | CA
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