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General NPI Number Information
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NPI Number | 1003612763
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Entity Type | Individual
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Provider Name | JADORE KELLY DOULA (CPD)
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 716 ACADEMY DR APT 11
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City | NEW ALBANY
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State | IN
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Zip | 47150-4075
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Country | US
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Telephone | 502-337-8001
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Fax |
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Provider Business Mailing Address
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Address Line | 7204 AUSTINWOOD RD
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City | LOUISVILLE
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State | KY
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Zip | 40214-5924
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Country | US
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Telephone | 502-337-8001
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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 | 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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