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General NPI Number Information
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NPI Number | 1033098967
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Entity Type | Organization
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Legal Business Name | M.A.M.A. MOM'S ADVOCATE & MATERNAL ADVISOR, LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 1515 41ST ST SE
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City | WASHINGTON
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State | DC
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Zip | 20020-6003
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Country | US
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Telephone | 202-709-6636
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Fax |
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Provider Business Mailing Address
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Address Line | 8787 BRANCH AVE # 361
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City | CLINTON
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State | MD
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Zip | 20735-2630
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Country | US
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Telephone | 202-709-6636
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MS. DOMINIQUE J JONES
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Credential | CD(DONA)
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Telephone | 202-709-6636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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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