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General NPI Number Information
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NPI Number | 1932101573
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Entity Type | Individual
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Provider Name | TINA S BRICKERT CNM
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Gender | Female
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 2651 E DISCOVERY PKWY
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City | BLOOMINGTON
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State | IN
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Zip | 47408-9059
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Country | US
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Telephone | 812-918-3400
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Fax | 812-918-5831
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Provider Business Mailing Address
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Address Line | PO BOX 1557
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City | MARTINSVILLE
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State | IN
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Zip | 46151-0557
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Country | US
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Telephone | 765-349-4600
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Fax | 765-349-6590
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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 | 72000016A
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License Number State | IN
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