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General NPI Number Information
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NPI Number | 1982952990
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Entity Type | Individual
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Provider Name | STACIA TAPLIN L.M., CPM
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Gender | Female
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Dates
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Enumeration Date | 08/22/2012
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Last Update Date | 08/22/2012
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Provider Practice Location Address
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Address Line | 1142 COW HORSE DR
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City | KUNA
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State | ID
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Zip | 83634-1428
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Country | US
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Telephone | 208-841-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 1142 COW HORSE DR
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City | KUNA
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State | ID
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Zip | 83634-1428
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Country | US
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Telephone | 208-841-1902
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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 | 37
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License Number State | ID
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