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General NPI Number Information
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NPI Number | 1003389297
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Entity Type | Individual
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Provider Name | COURTNEY JUST DOULA
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Gender | Female
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Dates
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Enumeration Date | 01/10/2019
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 16821 N.E. 6TH AVENUE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162
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Country | US
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Telephone | 786-953-6534
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Fax |
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Provider Business Mailing Address
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Address Line | 16821 NE 6TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-2405
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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