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General NPI Number Information
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NPI Number | 1932137585
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Entity Type | Individual
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Provider Name | DEBI A CHURCH CPM-TN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 148 COUNTY ROAD 654
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City | ATHENS
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State | TN
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Zip | 37303-6210
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Country | US
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Telephone | 423-745-5163
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Fax | 423-507-8099
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Provider Business Mailing Address
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Address Line | 148 COUNTY ROAD 654
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City | ATHENS
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State | TN
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Zip | 37303-6210
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Country | US
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Telephone | 423-745-5163
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Fax | 423-507-8099
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | CPM0000000009
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License Number State | TN
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