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General NPI Number Information
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NPI Number | 1649668328
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Entity Type | Individual
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Provider Name | BETHANY ROSE MARIA WITTEN CPM
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Gender | Female
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Dates
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Enumeration Date | 01/02/2015
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Last Update Date | 01/30/2019
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Provider Practice Location Address
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Address Line | 1248 FOREST RD
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City | ALSTEAD
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State | NH
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Zip | 03602
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Country | US
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Telephone | 207-274-0341
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Fax |
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Provider Business Mailing Address
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Address Line | 1248 FOREST RD
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City | ALSTEAD
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State | NH
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Zip | 03602-3907
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Country | US
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Telephone | 207-274-0341
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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 | 107.0129903
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License Number State | VT
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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 | 1060
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License Number State | NH
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