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General NPI Number Information
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NPI Number | 1912082462
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Entity Type | Organization
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Legal Business Name | ST. BARNABAS OB/GYN P.C.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4422 3RD AVE
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City | BRONX
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State | NY
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Zip | 10457-2545
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Country | US
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Telephone | 718-960-9415
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Fax |
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Provider Business Mailing Address
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Address Line | 4422 3RD AVE
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City | BRONX
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State | NY
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Zip | 10457-2545
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Country | US
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Telephone | 718-960-9415
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Fax |
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Authorized Official
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Title or Position | CNM
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Name | MRS. JACQUELINE CECEILE BIGGS
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Credential | CNM
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Telephone | 718-960-9415
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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 | F000395
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License Number State | NY
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