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General NPI Number Information
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NPI Number | 1528996790
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Entity Type | Individual
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Provider Name | JENNIFER CARRIE BENEDICT DOULA
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Gender | Female
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 05/09/2026
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Provider Practice Location Address
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Address Line | 18197 STONEHOUSE RD
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City | HERSEY
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State | MI
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Zip | 49639-8637
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Country | US
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Telephone | 989-382-7776
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 24
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City | PARIS
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State | MI
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Zip | 49338-0024
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Country | US
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Telephone | 989-382-7776
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MI
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