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General NPI Number Information
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NPI Number | 1962979955
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Entity Type | Individual
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Provider Name | GABRIELLE LANDON CNM
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Gender | Female
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Dates
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Enumeration Date | 10/28/2018
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 13170 RAVENNA RD STE 116
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City | CHARDON
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State | OH
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Zip | 44024-7022
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Country | US
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Telephone | 440-285-0828
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Fax |
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Provider Business Mailing Address
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Address Line | 384 SYLVIA DR
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City | CHARDON
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State | OH
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Zip | 44024-1434
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Country | US
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Telephone | 440-994-9962
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Fax |
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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 |
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License Number State |
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