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General NPI Number Information
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NPI Number | 1871583385
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Entity Type | Individual
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Provider Name | THERESA MARIE RISPOLI BSN, CNM
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Gender | Female
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 19490 SANDRIDGE WAY STE 350
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City | LEESBURG
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State | VA
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Zip | 20176-3467
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Country | US
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Telephone | 703-858-5599
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Fax | 703-858-5699
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Provider Business Mailing Address
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Address Line | 19490 SANDRIDGE WAY STE 350
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City | LEESBURG
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State | VA
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Zip | 20176-3467
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Country | US
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Telephone | 703-858-5599
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Fax | 703-858-5966
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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 | 0024162588
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | AP7899
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License Number State | AZ
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