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General NPI Number Information
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NPI Number | 1700687126
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Entity Type | Individual
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Provider Name | JENNIFER LEE SATTERFIELD CNM
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 1061 MEDICAL CENTER DR STE 102
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City | ORANGE CITY
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State | FL
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Zip | 32763-8225
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Country | US
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Telephone | 913-749-6653
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Fax |
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Provider Business Mailing Address
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Address Line | 1479 BARRY ST
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City | FAIRMONT
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State | WV
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Zip | 26554-2374
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Country | US
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Telephone | 304-288-4648
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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 | 121095
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License Number State | WV
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