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General NPI Number Information
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NPI Number | 1215794714
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Entity Type | Individual
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Provider Name | CAROL JOHNSON-PRELOW DOULA
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Gender | Female
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Dates
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Enumeration Date | 03/01/2024
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 11949 KING RICHARD DR
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City | BATON ROUGE
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State | LA
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Zip | 70815-6318
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Country | US
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Telephone | 225-284-3083
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 DRUSILLA LN, STE A PMB 2008
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City | BATON ROUGE
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State | LA
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Zip | 70809
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Country | US
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Telephone | 225-223-6695
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Fax | 225-223-6741
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 230444
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License Number State | LA
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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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