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General NPI Number Information
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NPI Number | 1629982582
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Entity Type | Organization
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Legal Business Name | MOUNTAIN SAGE MIDWIFERY AND WELLNESS PLLC
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 2465 N MAIN ST STE 11C
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City | SUNSET
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State | UT
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Zip | 84015-2450
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Country | US
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Telephone | 801-368-8504
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Fax |
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Provider Business Mailing Address
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Address Line | 5829 S 2700 W
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City | ROY
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State | UT
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Zip | 84067-1350
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Country | US
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Telephone | 801-368-8504
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Fax |
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Authorized Official
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Title or Position | OWNER/MIDWIFE
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Name | JESSICA BARTLETT
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Credential | DNP, CNM, RN, IBCLC
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Telephone | 801-368-8504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | NULL
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