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General NPI Number Information
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NPI Number | 1407621725
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Entity Type | Organization
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Legal Business Name | SOUL GOOD DOULAS LLC
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Dates
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Enumeration Date | 11/16/2023
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Last Update Date | 12/11/2024
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Provider Practice Location Address
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Address Line | 1001 N TWIN CREEK DR APT 604
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City | KILLEEN
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State | TX
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Zip | 76543-4247
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Country | US
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Telephone | 254-281-2822
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 N TWIN CREEK DR APT 604
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City | KILLEEN
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State | TX
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Zip | 76543-4247
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Country | US
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Telephone | 254-281-2822
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REYNA MARIA CASMIR
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Credential | CD(DONA)
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Telephone | 254-281-2822
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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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