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General NPI Number Information
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NPI Number | 1376243626
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Entity Type | Organization
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Legal Business Name | NOULA HEALTH CO
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Dates
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Enumeration Date | 03/06/2023
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Last Update Date | 03/06/2023
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Provider Practice Location Address
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Address Line | 169 MADISON AVE # 2160
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 501-779-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 169 MADISON AVE # 2160
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City | NEW YORK
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State | NY
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Zip | 10016-5101
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Country | US
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Telephone | 501-779-8883
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER & CEO
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Name | NOELLE CHRISTINE ACOSTA
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Credential |
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Telephone | 415-622-8637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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