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General NPI Number Information
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NPI Number | 1023829967
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Entity Type | Individual
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Provider Name | EMILY SUE AUSTIN DOULA NCS
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 6631 NE 182ND ST
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City | KENMORE
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State | WA
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Zip | 98028-5018
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Country | US
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Telephone | 808-285-7008
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 NE 155TH ST
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City | SHORELINE
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State | WA
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Zip | 98155-7440
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Country | US
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Telephone | 808-285-7008
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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 | 4106838
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License Number State | WA
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