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General NPI Number Information
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NPI Number | 1801219746
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Entity Type | Individual
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Provider Name | LAURA KATE MANN CNM
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Gender | Female
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 02/11/2014
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Provider Practice Location Address
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Address Line | 617 SAXONY PL SUITE 103
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City | ENCINITAS
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State | CA
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Zip | 92024-2797
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Country | US
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Telephone | 706-296-3406
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Fax |
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Provider Business Mailing Address
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Address Line | 445 SHEFFIELD AVE
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City | CARDIFF BY THE SEA
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State | CA
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Zip | 92007-1639
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Country | US
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Telephone | 706-296-3406
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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 | 2011
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License Number State | CA
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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 | 826096
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License Number State | CA
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