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General NPI Number Information
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NPI Number | 1447170790
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Entity Type | Organization
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Legal Business Name | DIVINE MOTHERS DOULA LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 318 CHURCHILL CT
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City | POINCIANA
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State | FL
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Zip | 34759-5949
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Country | US
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Telephone | 863-420-5164
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Fax |
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Provider Business Mailing Address
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Address Line | 318 CHURCHILL CT
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City | POINCIANA
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State | FL
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Zip | 34759-5949
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Country | US
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Telephone | 863-420-5164
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | MRS. SHURLA FORDE
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Credential | ENGLISH
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Telephone | 863-420-5164
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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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