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General NPI Number Information
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NPI Number | 1982391363
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Entity Type | Individual
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Provider Name | CAROLYN D'ANNUNZIO CNM
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 5701 BOW POINTE DR STE 350
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City | CLARKSTON
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State | MI
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Zip | 48346-5406
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Country | US
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Telephone | 248-384-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 5701 BOW POINTE DR STE 350
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City | CLARKSTON
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State | MI
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Zip | 48346-5406
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Country | US
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Telephone | 248-384-8020
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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 | 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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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4704329224
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License Number State | MI
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