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General NPI Number Information
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NPI Number | 1972626984
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Entity Type | Organization
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Legal Business Name | THE FARM MIDWIFERY CENTER
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 02/08/2013
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Provider Practice Location Address
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Address Line | 198 SECOND RD
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City | SUMMERTOWN
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State | TN
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Zip | 38483-0000
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Country | US
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Telephone | 931-964-2293
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Fax | 931-964-2295
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Provider Business Mailing Address
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Address Line | 198 SECOND RD
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City | SUMMERTOWN
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State | TN
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Zip | 38483-0000
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Country | US
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Telephone | 931-964-2293
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Fax | 931-964-2293
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. CAROL ANN NELSON
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Credential | CPM,LM
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Telephone | 931-964-2293
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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 | 95020001
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License Number State | TN
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