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General NPI Number Information
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NPI Number | 1437661600
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Entity Type | Individual
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Provider Name | REBEKAH ANTOINE DOULA
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Gender | Female
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Dates
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Enumeration Date | 10/27/2017
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Last Update Date | 12/04/2022
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Provider Practice Location Address
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Address Line | 301 NE 152ND ST
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City | MIAMI
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State | FL
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Zip | 33162-5017
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Country | US
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Telephone | 305-409-4604
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Fax |
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Provider Business Mailing Address
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Address Line | 8008 NW 31ST AVE APT 207
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City | GAINESVILLE
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State | FL
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Zip | 32606-6292
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Country | US
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Telephone | 305-409-4604
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | FL
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