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General NPI Number Information
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NPI Number | 1548273832
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Entity Type | Individual
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Provider Name | LAUREL L GAMMIE MCDONALD CNM
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 12/14/2018
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Provider Practice Location Address
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Address Line | 10300 SW 216TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33190-1003
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Country | US
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Telephone | 300-525-3510
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Fax | 305-254-4901
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Provider Business Mailing Address
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Address Line | 1454 MADISON AVE W
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City | IMMOKALEE
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State | FL
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Zip | 34142-2200
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Country | US
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Telephone | 239-658-3707
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Fax | 239-434-2805
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP 1537942
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | ARNP1537942
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License Number State | FL
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