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Individual
PENELOPE PATCH
Active
Individual
PENELOPE PATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
1010016283
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00049498
BCBS
VT
05
—
1007364
—
VT
01
—
8000746
LADIESFIRST
VT
Enumeration date
10/13/2006
Last updated
07/08/2007
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