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NPI 1699707414

NPI 1699707414 : LUZMARIA FERRERA VILLALON CNM : DANBURY, CT

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General NPI Number Information
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    NPI Number           |    1699707414
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    Entity Type          |    Individual 
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    Provider Name        |    LUZMARIA FERRERA VILLALON CNM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/06/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    33 1/2 PEMBROKE RD 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06811-2954
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    Country              |    US
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    Telephone            |    203-791-5030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    33 1/2 PEMBROKE RD 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06811-2954
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    Country              |    US
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    Telephone            |    203-791-5030
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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       |    000185
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    License Number State |    CT
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