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General NPI Number Information
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NPI Number | 1902756588
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Entity Type | Organization
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Legal Business Name | SACRED WATERS MIDWIFERY, LLC
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Dates
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Enumeration Date | 02/02/2026
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 7262 N CASSIE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53224-3651
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Country | US
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Telephone | 608-313-7180
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Fax |
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Provider Business Mailing Address
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Address Line | 7262 N CASSIE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53224-3651
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Country | US
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Telephone | 608-313-7180
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Fax |
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Authorized Official
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Title or Position | CERTIFIED NURSE MIDWIFE
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Name | LATASHA S BROWN
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Credential | CNM, APNP
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Telephone | 608-313-7180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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