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General NPI Number Information
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NPI Number | 1821128851
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Entity Type | Individual
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Provider Name | CONSTANCE SHANNON PFINGSTAG CNM
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 4625 LINDELL BLVD FL 2
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City | SAINT LOUIS
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State | MO
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Zip | 63108-3739
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Country | US
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Telephone | 914-919-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 KENNEDY DR STE 2032
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City | KEY WEST
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State | FL
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Zip | 33040-4023
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Country | US
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Telephone |
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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 | AP04601
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License Number State | LA
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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 | RN110834
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 831070
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP123461
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | R885174
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License Number State | MS
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Taxonomy #6
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN11034140
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License Number State | FL
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