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General NPI Number Information
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NPI Number | 1164095659
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Entity Type | Organization
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Legal Business Name | AROUND THE MOON DOULA SERVICES LLC
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Dates
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Enumeration Date | 07/21/2021
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Last Update Date | 07/21/2021
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Provider Practice Location Address
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Address Line | 4421 HANNA ST
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City | FORT WAYNE
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State | IN
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Zip | 46806-4743
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Country | US
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Telephone | 317-820-0744
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Fax |
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Provider Business Mailing Address
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Address Line | 4421 HANNA ST
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City | FORT WAYNE
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State | IN
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Zip | 46806-4743
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO/DOULA
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Name | BRIANA MYCHELLE JONES
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Credential | DOULA
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Telephone | 765-535-8700
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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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