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General NPI Number Information
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NPI Number | 1528873767
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Entity Type | Organization
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Legal Business Name | HARAMBEE DOULA CARE HOLISTIC SERVICES
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 6602 GRAND TETON PLAZA SUITE 100
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City | MADISON
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State | WI
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Zip | 53719-1091
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Country | US
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Telephone | 608-445-5385
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Fax | 866-689-5370
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Provider Business Mailing Address
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Address Line | 1213 N SHERMAN AVENUE #297
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City | MADISON
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State | WI
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Zip | 53704-4236
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Country | US
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Telephone | 608-445-5385
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Fax | 866-689-5370
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Authorized Official
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Title or Position | DIRECTOR OF CLINIC SERVICES
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Name | MRS. TEHMINA ISLAM
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Credential | CPM, LM
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Telephone | 608-445-5385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1500X
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Taxonomy Name | Community Health Clinic/Center
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License Number |
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License Number State |
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