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General NPI Number Information
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NPI Number | 1568819472
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Entity Type | Organization
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Legal Business Name | SPRINGS MIDWIFERY AND WOMEN'S CARE, LLC
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 02/03/2017
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Provider Practice Location Address
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Address Line | 5028 GALLOPING GOOSE WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-2915
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Country | US
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Telephone | 719-367-9405
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Fax | 719-434-9777
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Provider Business Mailing Address
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Address Line | 5028 GALLOPING GOOSE WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-2915
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Country | US
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Telephone | 719-367-9405
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Fax | 719-434-9777
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | JOLENE MARIE HAMANN
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Credential | MSN, CNM, WHNP-BC
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Telephone | 719-367-9405
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | APN.0991275-CNM
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License Number State | CO
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