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General NPI Number Information
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NPI Number | 1093531477
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Entity Type | Organization
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Legal Business Name | ALL BIRTH DOULAS CORPORATION
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 59 SCHOOL ST APT B-21
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City | NORTHBOROUGH
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State | MA
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Zip | 01532-2360
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Country | US
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Telephone | 508-375-8451
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Fax |
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Provider Business Mailing Address
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Address Line | 11 APEX DR STE 300A
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City | MARLBOROUGH
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State | MA
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Zip | 01752-1977
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Country | US
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Telephone | 508-454-1853
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RENICA ANGLADE
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Credential |
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Telephone | 508-454-1853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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 | 332800000X
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Taxonomy Name | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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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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