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General NPI Number Information
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NPI Number | 1497637136
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Entity Type | Organization
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Legal Business Name | ECHO OF EDEN MIDWIFERY-LLC
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 3613 SOLDOTNA DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-5658
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Country | US
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Telephone | 951-454-8571
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Fax |
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Provider Business Mailing Address
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Address Line | 3613 SOLDOTNA DR NE
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City | RIO RANCHO
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State | NM
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Zip | 87144-5658
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Country | US
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Telephone | 951-454-8571
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Fax |
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Authorized Official
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Title or Position | LEAD MIDWIFE
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Name | MS. SARA L CHEVALLIER
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Credential | CPM,LM
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Telephone | 951-454-8571
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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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