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General NPI Number Information
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NPI Number | 1639566383
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Entity Type | Individual
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Provider Name | CAROL G REDDICK APRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 870 SEVEN HILLS DR STE 103
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City | HENDERSON
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State | NV
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Zip | 89052-4378
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Country | US
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Telephone | 725-777-0414
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Fax | 702-565-5027
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Provider Business Mailing Address
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Address Line | 870 SEVEN HILLS DR STE 103
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City | HENDERSON
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State | NV
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Zip | 89052-4378
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Country | US
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Telephone | 725-777-0414
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Fax | 702-565-5027
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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 | ARNP9195584
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | APRN002892
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN002892
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License Number State | NV
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