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General NPI Number Information
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NPI Number | 1457030140
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Entity Type | Individual
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Provider Name | JERUSHAH FALBY
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Gender | Female
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Dates
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Enumeration Date | 07/12/2023
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 264 ROBERTS RD
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City | BLACKSBURG
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State | SC
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Zip | 29702-9565
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Country | US
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Telephone | 704-705-6261
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Fax |
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Provider Business Mailing Address
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Address Line | 421 P.O. BOX
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City | GROVER
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State | NC
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Zip | 28073
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Country | US
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Telephone | 704-705-6261
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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 | SC
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