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General NPI Number Information
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NPI Number | 1184330474
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Entity Type | Organization
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Legal Business Name | THE BREEZY DOULA LLC
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 21292 VALEWOOD
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City | LAKE FOREST
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State | CA
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Zip | 92630-6461
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Country | US
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Telephone | 949-300-0433
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Fax |
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Provider Business Mailing Address
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Address Line | 21292 VALEWOOD
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City | LAKE FOREST
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State | CA
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Zip | 92630-6461
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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 | OWNER/CERTIFIED DOULA
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Name | BREANA ZACCARO
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Credential | CD(DONA)
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Telephone | 949-300-0433
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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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