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General NPI Number Information
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NPI Number | 1689976896
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Entity Type | Individual
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Provider Name | MICHELLE M INGRAM-SANDERS CPM, CDEM
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Gender | Female
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 04/13/2019
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Provider Practice Location Address
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Address Line | 1516 H ST
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City | BEDFORD
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State | IN
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Zip | 47421-3832
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Country | US
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Telephone | 812-329-4547
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Fax | 888-906-3138
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Provider Business Mailing Address
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Address Line | PO BOX 1078
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City | BEDFORD
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State | IN
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Zip | 47421-1078
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Country | US
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Telephone | 812-329-4547
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Fax | 888-906-3138
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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 | 90000012A
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License Number State | IN
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