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General NPI Number Information
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NPI Number | 1770692592
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Entity Type | Individual
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Provider Name | LOIS MCCLELLAND CNM
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 06/06/2013
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Provider Practice Location Address
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Address Line | 3311 BROADVIEW RD
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City | CLEVELAND
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State | OH
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Zip | 44109-3315
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Country | US
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Telephone | 216-661-0400
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Fax | 216-661-2238
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Provider Business Mailing Address
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Address Line | 5159 EDGEWATER DR
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City | SHEFFIELD LAKE
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State | OH
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Zip | 44054
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Country | US
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Telephone | 440-949-6024
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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 | 01873NM
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN160940
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License Number State | OH
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