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General NPI Number Information
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NPI Number | 1528880564
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Entity Type | Organization
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Legal Business Name | MISSOURI COMMUNITY DOULA COUNCIL
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 40 N FLORISSANT RD
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City | FERGUSON
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State | MO
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Zip | 63135-2332
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Country | US
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Telephone | 913-638-0716
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 E BROADWAY # 109
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City | COLUMBIA
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State | MO
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Zip | 65201-6009
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Country | US
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Telephone | 913-638-0716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHERRY LENORE PAYNE
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Credential |
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Telephone | 913-638-0716
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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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