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General NPI Number Information
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NPI Number | 1003630062
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Entity Type | Individual
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Provider Name | SUSAN DEANNE MILLER DOULA
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Gender | Female
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Dates
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Enumeration Date | 11/14/2024
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 27032 EVERGREEN CHASE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6693
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Country | US
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Telephone | 813-381-6430
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Fax | 813-365-3074
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Provider Business Mailing Address
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Address Line | 27032 EVERGREEN CHASE DR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6693
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Country | US
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Telephone | 813-381-6430
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Fax | 813-365-3074
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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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