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General NPI Number Information
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NPI Number | 1821360009
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Entity Type | Individual
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Provider Name | AMY P FARMER CNM
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Gender | Female
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Dates
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Enumeration Date | 02/02/2012
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Last Update Date | 02/02/2012
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Provider Practice Location Address
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Address Line | 612 COLLEGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5311
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Country | US
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Telephone | 910-347-2154
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Fax | 910-347-7491
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Provider Business Mailing Address
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Address Line | 612 COLLEGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5311
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Country | US
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Telephone | 910-347-2154
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Fax | 910-347-7491
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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 | 418
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License Number State | NC
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