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General NPI Number Information
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NPI Number | 1023917556
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Entity Type | Organization
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Legal Business Name | MAMMANA MIDWIFERY
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 4133 MONTGOMERY BLVD NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-6741
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Country | US
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Telephone | 505-375-1397
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Fax | 505-431-4774
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Provider Business Mailing Address
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Address Line | 2510 RIO GRANDE BLVD NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87104-3224
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Country | US
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Telephone | 505-415-0403
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Fax | 505-431-4774
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Authorized Official
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Title or Position | OWNER, MIDWIFE
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Name | RACHEL BRUNACINI
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Credential | LM, CPM
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Telephone | 505-415-0403
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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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