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General NPI Number Information
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NPI Number | 1548917099
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Entity Type | Individual
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Provider Name | DARIENNE N LILES CNM
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Gender | Female
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Dates
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Enumeration Date | 03/04/2022
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 1735 27TH ST STE 206A
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City | PORTSMOUTH
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State | OH
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Zip | 45662-0009
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Country | US
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Telephone | 740-353-3196
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Fax | 740-353-1258
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Provider Business Mailing Address
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Address Line | 14050 STATE ROUTE 73
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City | MC DERMOTT
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State | OH
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Zip | 45652-8857
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Country | US
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Telephone | 606-939-1329
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Fax | 740-353-1258
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 439462
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License Number State | OH
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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 | APRN.CNM.0019529
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License Number State | OH
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