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General NPI Number Information
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NPI Number | 1225717010
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Entity Type | Individual
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Provider Name | ASHLEY RENEE FRABOTTA CERTIFIED DOULA
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Gender | Female
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 650 E DAVIDSON ST
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City | BARTOW
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State | FL
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Zip | 33830-4051
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Country | US
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Telephone | 863-534-9224
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Fax |
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Provider Business Mailing Address
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Address Line | 830 HOLIDAY LN
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City | BARTOW
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State | FL
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Zip | 33830-6215
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Country | US
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Telephone | 863-600-6306
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number | 202304104
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License Number State | FL
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