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General NPI Number Information
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NPI Number | 1336939396
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Entity Type | Individual
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Provider Name | GAVIN AHSAIAH OUTLAW
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 904 W CAMBRIA ST
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City | PHILADELPHIA
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State | PA
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Zip | 19133-1707
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Country | US
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Telephone | 126-759-6589
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Fax | 126-759-6589
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Provider Business Mailing Address
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Address Line | 904 W CAMBRIA ST
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City | PHILADELPHIA
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State | PA
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Zip | 19133-1707
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Country | US
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Telephone | 267-596-5890
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Fax | 267-596-5890
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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 | RSMBX4C0AD
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License Number State | PA
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