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General NPI Number Information
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NPI Number | 1629727680
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Entity Type | Individual
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Provider Name | JASMINE VANCE CNM
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Gender | Female
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Dates
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Enumeration Date | 03/18/2022
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 2216 HAWKSBURY LN
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City | HOOVER
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State | AL
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Zip | 35226-1208
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Country | US
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Telephone | 162-870-8459
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 CREST LNDG
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City | IRONDALE
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State | AL
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Zip | 35210-2256
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Country | US
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Telephone | 216-870-8459
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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