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NPI 1073986725

NPI 1073986725 : TACCARA DOWDELL LM, CPM : FARMINGTON HILLS, MI

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General NPI Number Information
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    NPI Number           |    1073986725
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    Entity Type          |    Individual 
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    Provider Name        |    TACCARA DOWDELL LM, CPM
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/03/2015
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    Last Update Date     |    09/18/2025
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Provider Practice Location Address
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    Address Line         |    28410 NEW CASTLE RD 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48331-5646
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    Country              |    US
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    Telephone            |    248-854-7710
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28410 NEW CASTLE RD 
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    City                 |    FARMINGTON HILLS
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    State                |    MI
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    Zip                  |    48331-5646
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    Country              |    US
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    Telephone            |    248-854-7710
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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 |    MI
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Taxonomy #2
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    Taxonomy Code        |    176B00000X
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    Taxonomy Name        |    Midwife
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    License Number       |    7601000158
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    License Number State |    MI
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