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General NPI Number Information
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NPI Number | 1982393369
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Entity Type | Individual
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Provider Name | AUBREI ACKERMAN MW61419406
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Gender | Female
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Dates
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Enumeration Date | 05/02/2023
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 1500 EASTLAKE AVE E
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City | SEATTLE
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State | WA
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Zip | 98102-3707
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Country | US
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Telephone | 206-861-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 2044 YALE AVE E APT 102
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City | SEATTLE
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State | WA
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Zip | 98102-7202
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Country | US
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Telephone | 206-849-3788
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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 | MW61419406
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License Number State | WA
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