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General NPI Number Information
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NPI Number | 1417814864
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Entity Type | Organization
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Legal Business Name | DIVINE DOULA
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 5949 BENT PINE DR APT 1010
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City | ORLANDO
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State | FL
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Zip | 32822-3375
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Country | US
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Telephone | 754-367-6256
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Fax | 954-252-4067
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Provider Business Mailing Address
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Address Line | PO BOX 590134
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City | ORLANDO
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State | FL
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Zip | 32859-0134
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Country | US
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Telephone | 754-367-6256
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Fax | 954-252-4067
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. BEGONIA T AJOSE
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Credential | CERTIFIED DOULA/CCMA
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Telephone | 754-367-6256
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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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