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General NPI Number Information
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NPI Number | 1679522650
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Entity Type | Individual
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Provider Name | JEANNE A KNUDTSEN CNM
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 7997 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-4226
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Country | US
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Telephone | 216-851-1880
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Fax | 216-707-9370
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Provider Business Mailing Address
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Address Line | 7997 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44103-4226
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Country | US
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Telephone | 216-851-1880
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Fax | 216-707-9370
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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 | 01640NM
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License Number State | OH
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