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General NPI Number Information
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NPI Number | 1932350832
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Entity Type | Individual
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Provider Name | ANNA THERESE PIERPAN C.N.M.
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Gender | Female
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 5400 GIBSON BLVD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-4729
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Country | US
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Telephone | 505-867-3993
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Fax | 505-867-3993
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Provider Business Mailing Address
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Address Line | 5400 GIBSON BLVD SE
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City | ALBUQUERQUE
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State | NM
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Zip | 87108-4729
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Country | US
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Telephone | 505-867-3993
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Fax | 505-867-3993
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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 | 559
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 1468
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License Number State | CA
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