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General NPI Number Information
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NPI Number | 1063379972
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Entity Type | Organization
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Legal Business Name | AUSTIN'S DOULA COLLECTIVE LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 2403 WAIZEL WAY
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City | GEORGETOWN
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State | TX
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Zip | 78626-8141
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Country | US
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Telephone | 512-931-4404
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Fax |
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Provider Business Mailing Address
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Address Line | 2403 WAIZEL WAY
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City | GEORGETOWN
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State | TX
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Zip | 78626-8141
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Country | US
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Telephone | 612-849-3882
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Fax |
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Authorized Official
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Title or Position | OWNER, DOULA
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Name | AMELIA NOELL VICK
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Credential |
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Telephone | 612-849-3882
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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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