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General NPI Number Information
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NPI Number | 1245044031
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Entity Type | Organization
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Legal Business Name | PUAH PERINATAL PROMISE LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 433 BAGDAD RD
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City | WESTLAKE
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State | LA
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Zip | 70669-3503
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Country | US
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Telephone | 209-346-2895
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Fax |
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Provider Business Mailing Address
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Address Line | 433 BAGDAD RD
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City | WESTLAKE
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State | LA
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Zip | 70669-3503
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Country | US
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Telephone | 209-346-2895
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Fax |
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Authorized Official
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Title or Position | OWNER/DOULA
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Name | MS. CHRISTIAN MITCHELL
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Credential |
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Telephone | 337-502-8108
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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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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