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General NPI Number Information
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NPI Number | 1578639324
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Entity Type | Individual
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Provider Name | PAMELA SUE RAYFORD CNM
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Gender | Female
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 8700 BEVERLY BLVD
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90048-1804
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Country | US
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Telephone | 310-423-3607
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 480743
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City | LOS ANGELES
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State | CA
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Zip | 90048-9343
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Country | US
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Telephone | 760-468-8376
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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 | NMW885
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License Number State | CA
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