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General NPI Number Information
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NPI Number | 1881646131
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Entity Type | Individual
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Provider Name | CHERYL G. SCALORA CNM
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Gender | Female
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 623 RUSSELL BLVD
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1247
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Country | US
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Telephone | 936-305-5277
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Fax | 866-859-9363
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Provider Business Mailing Address
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Address Line | 623 RUSSELL BLVD
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1247
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Country | US
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Telephone | 936-305-5277
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Fax | 866-859-9363
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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 | AP111647
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License Number State | TX
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