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General NPI Number Information
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NPI Number | 1841008562
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Entity Type | Organization
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Legal Business Name | HEARTSPACE MIDWIFERY, PLLC
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 331 USHERS RD STE 7
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City | BALLSTON LAKE
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State | NY
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Zip | 12019-1546
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Country | US
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Telephone | 518-588-7122
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Fax | 518-565-0609
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Provider Business Mailing Address
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Address Line | 331 USHERS RD STE 7
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City | BALLSTON LAKE
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State | NY
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Zip | 12019-1546
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Country | US
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Telephone | 518-588-7122
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Fax | 518-565-0609
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Authorized Official
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Title or Position | OWNER/MIDWIFE
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Name | HEIDI RICKS
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Credential | LM
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Telephone | 518-588-7122
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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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