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General NPI Number Information
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NPI Number | 1871926873
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Entity Type | Individual
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Provider Name | AMY LEAH FREDERICK MIDWIFE
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Gender | Female
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Dates
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Enumeration Date | 08/13/2013
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4604 SPOTSYLVANIA PKWY SUITE #310
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-7763
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Country | US
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Telephone | 540-710-1700
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Fax | 540-710-1800
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Provider Business Mailing Address
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Address Line | 9807 FOXTON PL
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-9250
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Country | US
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Telephone | 540-898-7094
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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 | 0024170677
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License Number State | VA
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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 | 0001165857
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License Number State | VA
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