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General NPI Number Information
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NPI Number | 1336957331
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Entity Type | Organization
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Legal Business Name | BLOSSOM BIRTH & GROW
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Dates
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Enumeration Date | 12/21/2024
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 8722 RAMSGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-4608
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Country | US
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Telephone | 714-909-8507
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Fax |
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Provider Business Mailing Address
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Address Line | 8722 RAMSGATE AVE
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City | LOS ANGELES
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State | CA
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Zip | 90045-4608
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DOULA/MIDWIFE ASSIST
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Name | DAISHAN MONAE EPPERSON
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Credential |
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Telephone | 714-909-8507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175M00000X
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Taxonomy Name | Lay Midwife
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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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