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General NPI Number Information
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NPI Number | 1144142597
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Entity Type | Individual
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Provider Name | MRS. AMY NICOLE GRAHAM
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Gender | Female
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 7765 LAKE WORTH RD # 1047
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City | LAKE WORTH
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State | FL
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Zip | 33467-2536
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Country | US
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Telephone | 561-294-4889
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Fax |
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Provider Business Mailing Address
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Address Line | 386 W 15TH ST
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City | RIVIERA BEACH
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State | FL
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Zip | 33404-6108
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Country | US
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Telephone | 561-294-4889
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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 | DOU-PBC-3608513
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License Number State | FL
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