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General NPI Number Information
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NPI Number | 1740191733
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Entity Type | Organization
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Legal Business Name | MIDWIVES AT THE EDGES
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 35 WILLOW BACK RD
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City | SANTA FE
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State | NM
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Zip | 87508-1484
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Country | US
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Telephone | 843-481-5034
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4573
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City | SANTA FE
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State | NM
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Zip | 87502-4573
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Country | US
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Telephone | 843-481-5034
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CARRIE BLAKE
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Credential | LM, MPH
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Telephone | 843-481-5034
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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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