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General NPI Number Information
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NPI Number | 1174464960
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Entity Type | Organization
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Legal Business Name | BONDED FROM BIRTH
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Dates
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Enumeration Date | 04/03/2026
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Last Update Date | 04/03/2026
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Provider Practice Location Address
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Address Line | 3677 OLD BUCKINGHAM RD
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City | POWHATAN
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State | VA
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Zip | 23139-7016
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Country | US
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Telephone | 803-528-7722
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Fax |
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Provider Business Mailing Address
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Address Line | 3677 OLD BUCKINGHAM RD
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City | POWHATAN
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State | VA
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Zip | 23139-7016
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Country | US
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Telephone | 803-528-7722
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | WESTON GOODWIN
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Credential |
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Telephone | 803-528-7722
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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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