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General NPI Number Information
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NPI Number | 1427638113
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Entity Type | Organization
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Legal Business Name | REBECCA PALAK MIDWIFERY
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Dates
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Enumeration Date | 04/08/2021
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 2387 CAMINO PINTORES
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City | SANTA FE
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State | NM
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Zip | 87505-5290
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Country | US
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Telephone | 505-660-0140
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Fax |
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Provider Business Mailing Address
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Address Line | 2387 CAMINO PINTORES
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City | SANTA FE
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State | NM
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Zip | 87505-5290
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Country | US
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Telephone | 505-660-0140
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Fax |
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Authorized Official
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Title or Position | OWNER, LICENSED MIDWIFE
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Name | REBECCA MARTINEZ
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Credential | LM
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Telephone | 505-660-0140
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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License Number |
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License Number State |
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