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General NPI Number Information
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NPI Number | 1760620892
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Entity Type | Individual
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Provider Name | SHEILA LYNN MATHIS C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 01/27/2009
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Last Update Date | 10/30/2020
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Provider Practice Location Address
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Address Line | 608 JACKSON ST
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5719
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Country | US
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Telephone | 540-322-5947
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Fax |
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Provider Business Mailing Address
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Address Line | 32480 ZOAR RD
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City | LOCUST GROVE
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State | VA
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Zip | 22508-2608
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Country | US
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Telephone | 703-868-1842
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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 | 0024167746
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License Number State | VA
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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 | RN1014557
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License Number State | DC
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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 | AC000592
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 0024167746
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License Number State | VA
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