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General NPI Number Information
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NPI Number | 1437950599
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Entity Type | Organization
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Legal Business Name | DIVINE DOULA GODDESS INC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 1047 MURCHISON RD STE 100
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-7027
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Country | US
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Telephone | 910-502-3936
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2172
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City | FAYETTEVILLE
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State | NC
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Zip | 28302-2172
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Country | US
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Telephone | 910-502-3936
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALLISHIA THOMAS
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Credential | DOULA
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Telephone | 910-729-0710
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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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