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General NPI Number Information
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NPI Number | 1528444973
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Entity Type | Organization
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Legal Business Name | DD DOULA
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Dates
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Enumeration Date | 08/08/2015
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Last Update Date | 08/08/2015
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Provider Practice Location Address
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Address Line | 740 80TH AVE
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City | AMERY
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State | WI
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Zip | 54001-5304
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Country | US
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Telephone | 715-268-4770
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Fax |
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Provider Business Mailing Address
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Address Line | 740 80TH AVE
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City | AMERY
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State | WI
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Zip | 54001-5304
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Country | US
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Telephone | 715-268-4770
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | DEENA DANIELSON
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Credential |
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Telephone | 715-268-4770
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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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