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General NPI Number Information
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NPI Number | 1578061339
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Entity Type | Individual
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Provider Name | KANYA NOEL DELPOZZO CNM
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Gender | Female
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Dates
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Enumeration Date | 01/26/2018
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 353 DEADMOND FERRY RD
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City | SPRINGFIELD
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State | OR
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Zip | 97477-9406
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Country | US
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Telephone | 541-222-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 3709 N BORTHWICK AVE
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City | PORTLAND
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State | OR
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Zip | 97227-1220
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Country | US
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Telephone | 845-519-7479
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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 | 201703003NP-PP
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License Number State | OR
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