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NPI 1972832921

NPI 1972832921 : JUDITH KAREN JONES CNM : JAMAICA, NY

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General NPI Number Information
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    NPI Number           |    1972832921
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    Entity Type          |    Individual 
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    Provider Name        |    JUDITH KAREN JONES CNM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/21/2009
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    Last Update Date     |    12/21/2009
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Provider Practice Location Address
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    Address Line         |    8900 VAN WYCK EXPRESSWAY JAMAICA HOSPITAL MEDICAL CENTER
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    City                 |    JAMAICA
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    State                |    NY
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    Zip                  |    11418
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    Country              |    US
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    Telephone            |    718-735-5219
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    Fax                  |    718-735-5219
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Provider Business Mailing Address
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    Address Line         |    1553 PACIFIC ST 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11213-1077
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    Country              |    US
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    Telephone            |    718-735-5219
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    Fax                  |    718-735-5219
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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       |    001365
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    License Number State |    NY
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