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General NPI Number Information
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NPI Number | 1831712595
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Entity Type | Individual
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Provider Name | GRACE FERGUSON-PELL CNM, WHNP
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Gender | Female
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Dates
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Enumeration Date | 05/28/2020
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Last Update Date | 12/01/2024
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Provider Practice Location Address
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Address Line | 506 LENOX AVE
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City | NEW YORK
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State | NY
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Zip | 10037-1889
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Country | US
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Telephone | 212-939-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 1270 5TH AVE APT 7G
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City | NEW YORK
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State | NY
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Zip | 10029-3423
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Country | US
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Telephone | 508-838-4143
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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