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General NPI Number Information
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NPI Number | 1801803655
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Entity Type | Individual
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Provider Name | AMANDA ERIN BROWNSBERGER CNM
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 09/01/2010
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Provider Practice Location Address
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Address Line | 4727 SAINT ANTOINE ST STE 304
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City | DETROIT
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State | MI
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Zip | 48201-1461
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Country | US
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Telephone | 313-745-0499
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Fax |
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Provider Business Mailing Address
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Address Line | 5 LAKESIDE CT
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City | GROSSE POINTE
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State | MI
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Zip | 48230-1906
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Country | US
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Telephone | 773-802-3028
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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 | 064811
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License Number State | IL
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