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General NPI Number Information
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NPI Number | 1740432681
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Entity Type | Individual
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Provider Name | GRETCHEN DEEVES C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 10/22/2008
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Last Update Date | 01/08/2015
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Provider Practice Location Address
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Address Line | 3201 S CARROLLTON AVE
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City | NEW ORLEANS
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State | LA
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Zip | 70118-4307
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Country | US
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Telephone | 504-231-7427
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Fax | 504-324-0937
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Provider Business Mailing Address
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Address Line | 3201 S. CARROLTON AVE.
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City | NEW ORLEANS
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State | LA
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Zip | 70118
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Country | US
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Telephone | 504-231-7427
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Fax | 504-324-0937
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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 | AP04131
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License Number State | LA
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