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NPI 1760466999

NPI 1760466999 : DEBORAH ELLEN APPLEYARD CNM, RN : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1760466999
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH ELLEN APPLEYARD CNM, RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/01/2005
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    Last Update Date     |    03/21/2017
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Provider Practice Location Address
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    Address Line         |    3401 N BROAD ST 7TH FLOOR OUT PATIENT BUILDING
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19140-5103
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    Country              |    US
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    Telephone            |    215-707-3008
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    Fax                  |    215-707-1387
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Provider Business Mailing Address
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    Address Line         |    2450 W HUNTING PARK AVE 3/208N
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19129-1302
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    Country              |    US
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    Telephone            |    215-707-3008
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    Fax                  |    215-707-1387
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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       |    RN334188L
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    License Number State |    PA
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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       |    MW008351L
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    License Number State |    PA
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