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General NPI Number Information
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NPI Number | 1932334315
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Entity Type | Organization
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Legal Business Name | COMPLETE WOMAN MIDWIFERY & COMPLETE MEDICAL IMAGING
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Dates
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Enumeration Date | 05/28/2009
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Last Update Date | 05/28/2009
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Provider Practice Location Address
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Address Line | 2 LINCOLN TER
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City | CALDWELL
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State | NJ
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Zip | 07006-5611
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Country | US
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Telephone | 973-226-2563
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Fax |
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Provider Business Mailing Address
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Address Line | 2 LINCOLN TER
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City | CALDWELL
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State | NJ
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Zip | 07006-5611
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Country | US
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Telephone | 973-226-2563
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Fax |
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Authorized Official
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Title or Position | MIDWIFE/OWNER
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Name | MS. LINDA ALICE PERRY
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Credential | CM, CPM
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Telephone | 973-226-2563
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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 | 25MW00000100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 25MM00000700
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | F0011431
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License Number State | NY
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