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General NPI Number Information
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NPI Number | 1144181363
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Entity Type | Individual
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Provider Name | MRS. MONIQUE RENAE DODGE
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 611 NW 27TH AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4274
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Country | US
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Telephone | 360-773-9378
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Fax |
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Provider Business Mailing Address
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Address Line | 611 NW 27TH AVE
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4274
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Country | US
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Telephone | 360-773-9378
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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 | BDC.BD.70053848
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License Number State | WA
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