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General NPI Number Information
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NPI Number | 1700944709
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Entity Type | Individual
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Provider Name | CATHLEEN WESTON CPM,RN,LM
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Gender | Female
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/23/2010
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Provider Practice Location Address
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Address Line | 16660 N RIGHT FORK RD
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City | HAUSER
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State | ID
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Zip | 83854-5585
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Country | US
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Telephone | 208-773-9420
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Fax | 208-773-5776
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Provider Business Mailing Address
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Address Line | PO BOX 966
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City | NEWMAN LAKE
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State | WA
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Zip | 99025-0966
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Country | US
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Telephone |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | 60050144
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License Number State | WA
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