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General NPI Number Information
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NPI Number | 1588614218
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Entity Type | Individual
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Provider Name | FRANCES LOCKE-ROSENBERG CNM
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Gender | Male
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 05/14/2012
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Provider Practice Location Address
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Address Line | 1555 W HOWARD ST
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City | CHICAGO
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State | IL
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Zip | 60626-1707
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Country | US
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Telephone | 773-764-7146
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Fax | 773-764-3774
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Provider Business Mailing Address
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Address Line | 600 W FULTON ST SUITE 200
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City | CHICAGO
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State | IL
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Zip | 60661-1259
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Country | US
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Telephone | 312-526-2000
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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 | 209-005147
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License Number State | IL
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