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General NPI Number Information
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NPI Number | 1851414742
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Entity Type | Organization
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Legal Business Name | SAGE MIDWIFERY, INC.
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Dates
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Enumeration Date | 04/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7531 E MCKNIGHT AVE UNIT A
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-4570
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Country | US
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Telephone | 602-793-5063
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Fax | 866-620-2841
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Provider Business Mailing Address
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Address Line | 1537 W TUCKEY LN
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City | PHOENIX
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State | AZ
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Zip | 85015-1451
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Country | US
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Telephone | 602-793-5063
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Fax | 866-620-2841
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARINAH VALENZUELA FARRELL
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Credential | L.M, C.P.M
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Telephone | 602-793-5063
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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 | LM143
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License Number State | AZ
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