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General NPI Number Information
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NPI Number | 1548760903
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Entity Type | Individual
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Provider Name | LAURA MARGARET MACCARALD CNM
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Gender | Female
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Dates
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Enumeration Date | 02/12/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 20 ARROWOOD DR
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City | ITHACA
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State | NY
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Zip | 14850-1869
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Country | US
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Telephone | 607-266-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 5040 WILLIAMEE RD
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City | TRUMANSBURG
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State | NY
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Zip | 14886-9617
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Country | US
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Telephone | 607-229-5790
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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 | F001853
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License Number State | NY
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