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General NPI Number Information
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NPI Number | 1386919736
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Entity Type | Organization
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Legal Business Name | MOVING MOMMIES LLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 5531 CARDIFF CT
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City | RICHMOND
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State | VA
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Zip | 23227-3102
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Country | US
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Telephone | 804-201-8626
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Fax |
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Provider Business Mailing Address
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Address Line | 5531 CARDIFF CT
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City | RICHMOND
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State | VA
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Zip | 23227-3102
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Country | US
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Telephone | 804-201-8626
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Fax |
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Authorized Official
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Title or Position | OWNER/ TRAINER
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Name | KEKERIA ACHOLA EDWARDS
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Credential |
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Telephone | 804-201-8626
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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 | 0001195651
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License Number State | VA
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