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General NPI Number Information
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NPI Number | 1487952883
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Entity Type | Organization
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Legal Business Name | A MOTHER'S HAVEN
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Dates
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Enumeration Date | 03/09/2011
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Last Update Date | 03/09/2011
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Provider Practice Location Address
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Address Line | 2204 TULLS COVE RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-7135
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Country | US
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Telephone | 252-673-1889
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 TULLS COVE RD
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City | WINTERVILLE
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State | NC
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Zip | 28590-7135
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RN, BSN, POSTPARTUM DOULA
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Name | MICHELLE P PAYNE
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Credential | RN
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Telephone | 252-673-1889
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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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