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General NPI Number Information
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NPI Number | 1104688167
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Entity Type | Organization
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Legal Business Name | HER YONISTY FEMININE WELLNESS LLC
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Dates
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Enumeration Date | 01/25/2024
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1040 N FULTON ST
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City | FRESNO
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State | CA
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Zip | 93728-3414
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Country | US
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Telephone | 559-408-5822
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 N TRACY AVE
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City | FRESNO
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State | CA
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Zip | 93722-8002
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Country | US
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Telephone | 209-280-7610
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | LATOYA HODGE
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Credential |
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Telephone | 209-280-7610
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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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