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General NPI Number Information
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NPI Number | 1093627556
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Entity Type | Organization
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Legal Business Name | VIBRANT WELLNESS MIDWIFERY, PLLC
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Dates
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Enumeration Date | 09/21/2026
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Last Update Date | 09/21/2026
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Provider Practice Location Address
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Address Line | 25 WALTON ST STE 1
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2040
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Country | US
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Telephone | 518-212-7317
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Fax | 518-430-5856
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Provider Business Mailing Address
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Address Line | 25 WALTON ST STE 1
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-2040
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Country | US
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Telephone | 518-212-7317
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Fax | 518-430-5856
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Authorized Official
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Title or Position | OWNER
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Name | SUSAN PANTANO
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Credential | CNM
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Telephone | 518-227-4564
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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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