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General NPI Number Information
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NPI Number | 1619199361
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Entity Type | Organization
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Legal Business Name | MIDWIFERY CARE OF MONSEY, PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 16 PARK AVE
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City | AIRMONT
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State | NY
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Zip | 10952-4507
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Country | US
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Telephone | 845-356-3545
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Fax | 845-356-3445
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Provider Business Mailing Address
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Address Line | 16 PARK AVE
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City | AIRMONT
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State | NY
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Zip | 10952-4507
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Country | US
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Telephone | 845-356-3545
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Fax | 845-356-3445
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA LENT BLOCH
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Credential | CNM
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Telephone | 845-356-3545
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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 | F000869-1
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License Number State | NY
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