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General NPI Number Information
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NPI Number | 1568976330
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Entity Type | Individual
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Provider Name | ROSALIND C ELLIOTT CNM
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Gender | Female
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 200 WYCKOFF RD STE 4600
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City | EATONTOWN
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State | NJ
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Zip | 07724-0200
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Country | US
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Telephone | 862-781-3877
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Fax |
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Provider Business Mailing Address
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Address Line | 200 WYCKOFF RD STE 4600
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City | EATONTOWN
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State | NJ
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Zip | 07724-0200
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Country | US
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Telephone | 862-781-3877
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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 | 201709638NP-PP
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License Number State | OR
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