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General NPI Number Information
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NPI Number | 1891564399
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Entity Type | Individual
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Provider Name | JOAN RAY CNM
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Gender | Female
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Dates
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Enumeration Date | 12/26/2023
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 112 N EWING ST
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City | LANCASTER
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State | OH
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Zip | 43130-3307
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Country | US
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Telephone | 740-689-6690
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Fax |
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Provider Business Mailing Address
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Address Line | 129 STRAYER AVE
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City | BREMEN
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State | OH
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Zip | 43107-1146
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Country | US
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Telephone | 740-503-9232
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN.CNM.0019608
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License Number State | OH
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