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General NPI Number Information
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NPI Number | 1922933803
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Entity Type | Organization
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Legal Business Name | WILD WOMB MIDWIFERY & WELLNESS
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 151 E MAIN ST
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City | SANTAQUIN
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State | UT
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Zip | 84655-7045
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Country | US
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Telephone | 385-456-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 847 E 9600 S
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City | SALEM
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State | UT
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Zip | 84653-5566
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Country | US
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Telephone | 385-456-3340
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Fax |
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Authorized Official
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Title or Position | MIDWIFE
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Name | BRANDI SAIR
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Credential | CPM,LDEM
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Telephone | 385-456-3340
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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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