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General NPI Number Information
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NPI Number | 1073911012
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Entity Type | Organization
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Legal Business Name | BELLA MOM, LLC
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 12/08/2014
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Provider Practice Location Address
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Address Line | 1280 PACIFIC ST APT 15
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City | BROOKLYN
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State | NY
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Zip | 11216-3154
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Country | US
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Telephone | 917-600-9006
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Fax |
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Provider Business Mailing Address
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Address Line | 1280 PACIFIC ST APT 15
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City | BROOKLYN
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State | NY
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Zip | 11216-3154
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Country | US
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Telephone | 917-600-9006
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Fax |
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Authorized Official
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Title or Position | DOULA & LACTATION COUNSELOR
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Name | VALERIE LENON-REED
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Credential |
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Telephone | 917-600-9006
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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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