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General NPI Number Information
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NPI Number | 1972170512
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Entity Type | Individual
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Provider Name | ADRIAN R O'BRIEN CPM, LM
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Gender | Female
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 24704 PRIVATE ROAD 2283
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City | GOLDEN
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State | MO
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Zip | 65658-6003
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Country | US
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Telephone | 419-612-6779
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Fax | 440-377-6507
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Provider Business Mailing Address
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Address Line | 24704 PRIVATE ROAD 2283
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City | GOLDEN
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State | MO
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Zip | 65658-6003
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Country | US
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Telephone | 419-612-6779
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Fax | 440-377-6507
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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 |
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License Number State |
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