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General NPI Number Information
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NPI Number | 1538819602
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Entity Type | Organization
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Legal Business Name | THRESHOLD COMMUNITY MIDWIVES
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Dates
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Enumeration Date | 03/24/2022
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Last Update Date | 03/24/2022
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Provider Practice Location Address
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Address Line | 4499 RT 215 NORTH, CABOT, VT, 05647
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City | CABOT
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State | VT
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Zip | 05647
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Country | US
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Telephone | 267-342-3172
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | CABOT
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State | VT
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Zip | 05647-0008
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Country | US
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Telephone | 267-342-3172
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Fax |
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Authorized Official
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Title or Position | LICENSED MIDWIVE
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Name | EMILY NADAV
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Credential | LM
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Telephone | 267-342-3172
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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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