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General NPI Number Information
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NPI Number | 1912182908
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Entity Type | Individual
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Provider Name | JANA FLESHER CNM
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 3300 W CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024-4666
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Country | US
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Telephone | 269-327-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 W 65TH ST STE 100
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City | EDINA
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State | MN
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Zip | 55435-2147
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Country | US
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Telephone | 952-920-7001
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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 | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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License Number | 177361
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 163WX0002X
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Taxonomy Name | High-Risk Obstetric Registered Nurse
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License Number | 177361
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163WX0003X
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Taxonomy Name | Inpatient Obstetric Registered Nurse
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License Number | 2305473
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4301109424
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License Number State | MI
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Taxonomy #5
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 287
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License Number State | MN
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