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General NPI Number Information
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NPI Number | 1659493369
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Entity Type | Individual
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Provider Name | PATRICIA GEPPERT WOOLLCOTT RN, CNM
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 02/14/2012
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Provider Practice Location Address
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Address Line | 1003 SPRING ST
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City | PETOSKEY
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State | MI
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Zip | 49770-2810
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Country | US
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Telephone | 231-347-9692
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Fax |
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Provider Business Mailing Address
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Address Line | 2151 S LAKE SHORE DR
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City | HARBOR SPRINGS
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State | MI
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Zip | 49740-9115
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Country | US
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Telephone | 231-242-0747
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704247974
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License Number State | MI
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