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General NPI Number Information
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NPI Number | 1639700305
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Entity Type | Individual
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Provider Name | DISHAWNA MARIE BARNARD LM, CPM
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Gender | Female
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 35605 AVENUE D
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City | YUCAIPA
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State | CA
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Zip | 92399-4467
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Country | US
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Telephone | 909-782-7537
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 336
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City | PALM SPRINGS
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State | CA
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Zip | 92263-0336
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Country | US
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Telephone |
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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 | LM602
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License Number State | CA
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