MEDICARE: PAITEN ASHLYN DODD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1184419590
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAITEN ASHLYN DODD

Provider Business Mailing Address
First Line	:	12413 BRANNER WAY APT 202
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2808
Country	:	US
Telephone Number	:	804-892-9688
Fax Number	:

Provider Business Practice Location Address
First Line	:	12413 BRANNER WAY APT 202
Second Line	:
City	:	CHESTER
State	:	VA
Zip	:	23836-2808
Country	:	US
Telephone Number	:	804-892-9688
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2025
Last Update Date	:	04/14/2025

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Directions to “ PAITEN ASHLYN DODD ” Practice Location

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