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General NPI Number Information
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NPI Number | 1376077651
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Entity Type | Organization
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Legal Business Name | INDIANA CUDDLE COT CAMPAIGN
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 1306 BOYER ST
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City | RICHMOND
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State | IN
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Zip | 47374-1802
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Country | US
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Telephone | 937-733-9252
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Fax |
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Provider Business Mailing Address
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Address Line | 1306 BOYER ST PO BOX 2293
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City | RICHMOND
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State | IN
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Zip | 47374-1802
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Country | US
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Telephone | 937-733-9252
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND DIRECTOR
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Name | BRITTANY R IRVINE
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Credential | SBD, AAS, CMA (AAMA)
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Telephone | 937-733-9252
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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 | SBD20110344
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License Number State | IN
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