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General NPI Number Information
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NPI Number | 1073472387
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Entity Type | Organization
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Legal Business Name | MOTHERBABY WELLNESS PERINATAL HUB
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Dates
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Enumeration Date | 01/21/2026
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 1200 BRIDGEPORT WAY APT 204
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City | SUFFOLK
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State | VA
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Zip | 23435-1968
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Country | US
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Telephone | 347-327-4279
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 BRIDGEPORT WAY APT 204
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City | SUFFOLK
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State | VA
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Zip | 23435-1968
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Country | US
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Telephone | 347-327-4279
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZINA LATRICE BROCKMAN
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Credential | DOULA
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Telephone | 347-327-4279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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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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