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General NPI Number Information
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NPI Number | 1548560451
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Entity Type | Individual
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Provider Name | TONI MARIE AMUNDSEN CNM
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Gender | Female
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 2016 N D ST
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City | SAN BERNARDINO
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State | CA
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Zip | 92405-3914
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Country | US
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Telephone | 909-881-3084
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Fax |
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Provider Business Mailing Address
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Address Line | 35070 WILLOW SPRINGS DR
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City | YUCAIPA
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State | CA
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Zip | 92399-5936
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Country | US
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Telephone | 909-797-6607
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1915
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License Number State | CA
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