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General NPI Number Information
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NPI Number | 1720089238
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Entity Type | Individual
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Provider Name | ROSALIND C KLINEPETER CNM
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Gender | Female
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 386 STRAWBERRY LN
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City | BIG COVE TANNERY
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State | PA
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Zip | 17212-9425
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Country | US
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Telephone | 717-816-6914
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Fax |
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Provider Business Mailing Address
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Address Line | 386 STRAWBERRY LN
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City | BIG COVE TANNERY
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State | PA
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Zip | 17212-9425
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN176944L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | MW008573L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | MW008573L
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License Number State | PA
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