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General NPI Number Information
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NPI Number | 1477429629
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Entity Type | Organization
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Legal Business Name | SACRED BLACKSTONE BIRTH ADVOCATES
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 756 PIPESTONE ST # 2
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City | BENTON HARBOR
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State | MI
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Zip | 49022-4845
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Country | US
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Telephone | 616-315-7101
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Fax |
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Provider Business Mailing Address
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Address Line | 756 PIPESTONE ST # 4
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City | BENTON HARBOR
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State | MI
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Zip | 49022-4845
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Country | US
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Telephone | 616-315-7101
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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. JONELL TONE SAWYER-MOORE
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Credential | CERTIFIED DOULA
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Telephone | 616-315-7101
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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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