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General NPI Number Information
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NPI Number | 1003604174
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Entity Type | Organization
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Legal Business Name | IDA SCHAFFER
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 5 BOYLSTON ST
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City | MALDEN
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State | MA
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Zip | 02148-7802
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Country | US
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Telephone | 857-266-2359
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Fax |
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Provider Business Mailing Address
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Address Line | 3106 STEARNS HILL RD
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City | WALTHAM
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State | MA
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Zip | 02451-7110
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Country | US
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Telephone | 781-800-3310
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Fax |
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Authorized Official
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Title or Position | MYSELF
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Name | IDA SCHAFFER
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Credential |
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Telephone | 857-266-2359
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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