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General NPI Number Information
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NPI Number | 1447854534
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Entity Type | Individual
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Provider Name | MICHELLE NG
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Gender | Female
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Dates
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Enumeration Date | 11/30/2020
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 319 MELROSE ST APT 1B
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City | BROOKLYN
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State | NY
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Zip | 11237-1839
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Country | US
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Telephone | 917-715-6598
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Fax |
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Provider Business Mailing Address
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Address Line | 938 E 15TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-3704
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Country | US
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Telephone | 917-715-6598
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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 | NY
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