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General NPI Number Information
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NPI Number | 1396535613
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Entity Type | Organization
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Legal Business Name | LAVENDER NEST DOULA LLC
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Dates
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Enumeration Date | 05/09/2025
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 8747 WOODWARD AVENUE
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City | DETROIT
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State | MI
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Zip | 48202
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Country | US
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Telephone | 313-451-2754
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Fax |
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Provider Business Mailing Address
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Address Line | 6659 SCHAEFER RD # 1134
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City | DEARBORN
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State | MI
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Zip | 48126-1812
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Country | US
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Telephone | 313-451-2754
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | JACQUELINE NS ATANASIU
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Credential |
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Telephone | 313-451-2754
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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 |
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License Number State |
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