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General NPI Number Information
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NPI Number | 1013820208
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Entity Type | Organization
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Legal Business Name | SWEET PEA MIDWIFERY PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 925 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2230
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Country | US
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Telephone | 214-460-6575
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Fax | 469-925-2828
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Provider Business Mailing Address
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Address Line | 925 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2230
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Country | US
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Telephone | 214-460-6575
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Fax | 469-925-2828
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Authorized Official
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Title or Position | OWNER
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Name | OLIVIA DIANNE DELAVEGA
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Credential | CNM
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Telephone | 214-460-6575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State | NULL
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