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General NPI Number Information
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NPI Number | 1154017424
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Entity Type | Organization
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Legal Business Name | DAUGHTERS OF RAHAB DOULA HELATH AND WELLNESS
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Dates
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Enumeration Date | 04/11/2023
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Last Update Date | 04/11/2023
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Provider Practice Location Address
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Address Line | 24001 SOUTHFIELD RD STE 103
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2800
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Country | US
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Telephone | 248-733-5802
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Fax | 248-732-2871
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Provider Business Mailing Address
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Address Line | 24001 SOUTHFIELD RD STE 103
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2800
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Country | US
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Telephone | 248-733-5802
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KERISHA NICOLE HENDERSON
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Credential |
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Telephone | 248-733-5802
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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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