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General NPI Number Information
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NPI Number | 1205616372
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Entity Type | Individual
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Provider Name | EVA WINGO CD (DONA)
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Gender | Female
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/04/2023
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Provider Practice Location Address
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Address Line | 340 W 42ND ST UNIT 332
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City | NEW YORK
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State | NY
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Zip | 10108-1511
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Country | US
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Telephone | 917-528-5260
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Fax |
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Provider Business Mailing Address
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Address Line | 5117 S MELODY RD
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23234-4229
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Country | US
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Telephone | 718-813-4263
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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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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