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General NPI Number Information
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NPI Number | 1689119554
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Entity Type | Organization
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Legal Business Name | SANTA CRUZ MIDWIVES INC
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Dates
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Enumeration Date | 12/30/2016
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Last Update Date | 12/13/2023
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Provider Practice Location Address
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Address Line | 530 OCEAN ST STE A
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City | SANTA CRUZ
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-332-3075
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Fax | 831-295-6706
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Provider Business Mailing Address
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Address Line | 530 OCEAN ST STE A
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City | SANTA CRUZ
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-332-3075
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Fax | 831-295-6706
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHARON FRANCES POTTEIGER
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Credential | LM
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Telephone | 831-713-3854
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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 | 386
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 241
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License Number State | CA
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