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General NPI Number Information
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NPI Number | 1275373524
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Entity Type | Organization
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Legal Business Name | PRIDES BIRTH SERVICES
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 5600 BANCROFT AVE APT B
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City | OAKLAND
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State | CA
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Zip | 94605-1059
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Country | US
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Telephone | 510-603-8014
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Fax |
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Provider Business Mailing Address
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Address Line | 5600 BANCROFT AVE APT B
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City | OAKLAND
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State | CA
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Zip | 94605-1059
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Country | US
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Telephone | 510-603-8014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS PONTSHO PRIDESWORTH TSIANE
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Credential | DOULA & EDUCATOR
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Telephone | 510-603-8014
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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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