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General NPI Number Information
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NPI Number | 1750952099
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Entity Type | Individual
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Provider Name | DEBORAH JEAN ACKER JD, MSN, CNM, RN
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Gender | Female
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/07/2021
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Provider Practice Location Address
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Address Line | 2710 GATEWAY OAKS DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-3505
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Country | US
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Telephone | 650-575-5452
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 BUNKHOUSE CT
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City | PLACERVILLE
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State | CA
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Zip | 95667-8900
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Country | US
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Telephone | 650-575-5452
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 257
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP1700X
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Taxonomy Name | Perinatal Registered Nurse
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License Number | N295625
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License Number State | CA
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