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General NPI Number Information
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NPI Number | 1720021215
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Entity Type | Individual
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Provider Name | JENNIFER Y FIELDS CNM
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Gender | Female
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | CHINLE SERVICE UNIT IHS HIGHWAY 191 AND HOSPITAL ROAD
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City | CHINLE
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State | AZ
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Zip | 86503
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Country | US
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Telephone | 928-674-7043
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX PH
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City | CHINLE
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State | AZ
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Zip | 86503-8000
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Country | US
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Telephone | 928-674-7001
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Fax | 303-320-2947
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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 | 124408
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 200050096NP
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License Number State | OR
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