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General NPI Number Information
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NPI Number | 1720601875
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Entity Type | Organization
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Legal Business Name | JOY MIDWIFERY AND WOMEN'S HEALTH
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Dates
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Enumeration Date | 05/23/2020
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 3549 BAILEY RIDGE DR
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City | WOODBURY
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State | MN
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Zip | 55125-8463
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Country | US
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Telephone | 917-470-0518
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Fax |
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Provider Business Mailing Address
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Address Line | 3549 BAILEY RIDGE DR
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City | WOODBURY
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State | MN
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Zip | 55125-8463
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Country | US
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Telephone | 917-470-0518
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSE MIDWIFE
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Name | SUSANNAH 16163 IN OKUTORO-KETTER
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Credential | MSN CNM
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Telephone | 917-470-0518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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