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General NPI Number Information
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NPI Number | 1235855883
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Entity Type | Organization
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Legal Business Name | SAGE MIDWIFERY
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 135 E CALDERWOOD DR STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-7851
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Country | US
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Telephone | 986-999-3911
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Fax | 208-600-6911
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Provider Business Mailing Address
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Address Line | 135 E CALDERWOOD DR STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-7851
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KATHARINE RAWLINS
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Credential | LM, CPM
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Telephone | 986-999-3911
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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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