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General NPI Number Information
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NPI Number | 1073915724
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Entity Type | Organization
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Legal Business Name | DOULA
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 126 DAUNTLESS DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-3031
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Country | US
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Telephone | 412-605-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 126 DAUNTLESS DR
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City | PITTSBURGH
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State | PA
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Zip | 15235-3031
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Country | US
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Telephone | 412-605-8552
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Fax |
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Authorized Official
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Title or Position | COMMUNITY-BASED DOULA
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Name | MS. ROBIN SUTTON
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Credential | CD(DONA)
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Telephone | 412-605-8552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 374J00000
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License Number State | PA
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