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General NPI Number Information
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NPI Number | 1407240070
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Entity Type | Organization
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Legal Business Name | STRONG MAMAS DOULA
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Dates
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Enumeration Date | 03/23/2015
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Last Update Date | 03/23/2015
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Provider Practice Location Address
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Address Line | 3265 EDINBURGH DR
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City | LIVERMORE
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State | CA
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Zip | 94551-1782
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Country | US
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Telephone | 530-355-9534
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Fax |
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Provider Business Mailing Address
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Address Line | 3265 EDINBURGH DR
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City | LIVERMORE
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State | CA
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Zip | 94551-1782
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Country | US
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Telephone | 530-355-9534
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | HAILEY LYNNAE LEACH
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Credential |
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Telephone | 530-355-9534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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