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General NPI Number Information
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NPI Number | 1528933678
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Entity Type | Organization
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Legal Business Name | SOCAL DOULA LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 35851 LOURDES DR
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City | WINCHESTER
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State | CA
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Zip | 92596-9148
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Country | US
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Telephone | 562-754-1320
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Fax |
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Provider Business Mailing Address
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Address Line | 35851 LOURDES DR
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City | WINCHESTER
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State | CA
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Zip | 92596-9148
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Country | US
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Telephone | 562-754-1320
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYNA CHESSMAN
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Credential | DOULA
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Telephone | 562-754-1320
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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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