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General NPI Number Information
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NPI Number | 1114729431
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Entity Type | Organization
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Legal Business Name | HEART FOLK MIDWIFERY
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1604 HWY 116 S
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City | SEBASTOPOL
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State | CA
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Zip | 95472-4837
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Country | US
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Telephone | 707-672-2654
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Fax | 707-306-7579
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Provider Business Mailing Address
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Address Line | PO BOX 77
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City | BODEGA
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State | CA
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Zip | 94922-0077
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Country | US
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Telephone | 707-672-2654
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Fax | 707-306-7579
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Authorized Official
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Title or Position | LICENSED MIDWIFE
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Name | TAYA MOHLER
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Credential | LM CPM
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Telephone | 707-672-2654
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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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