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General NPI Number Information
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NPI Number | 1952504672
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Entity Type | Individual
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Provider Name | BARBARA TALLON CAVANAUGH RN, IBCLC, MIDWIFE
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3808 CHIPPENHAM RD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-2198
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Country | US
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Telephone | 717-732-2808
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Fax | 717-732-2808
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Provider Business Mailing Address
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Address Line | 3808 CHIPPENHAM RD
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City | MECHANICSBURG
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State | PA
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Zip | 17050-2198
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Country | US
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Telephone | 717-732-2808
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Fax | 717-732-2808
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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 | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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