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General NPI Number Information
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NPI Number | 1639231053
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Entity Type | Individual
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Provider Name | UTE FROMMER SHERBOW CNM NP MSN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 312 EAST MAIN STREET
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City | TALENT
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State | OR
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Zip | 97540
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Country | US
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Telephone | 541-535-9108
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Fax | 541-535-8809
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Provider Business Mailing Address
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Address Line | 312 EAST MAIN STREET
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City | TALENT
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State | OR
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Zip | 97540
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Country | US
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Telephone | 541-535-9108
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Fax | 541-535-8809
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 86000353
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 86000353
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License Number State |
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