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General NPI Number Information
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NPI Number | 1538793393
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Entity Type | Organization
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Legal Business Name | METRO MOMMY AGENCY LLC
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Dates
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Enumeration Date | 03/02/2020
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Last Update Date | 03/02/2020
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Provider Practice Location Address
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Address Line | 15744 NE 11TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5322
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Country | US
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Telephone | 786-553-3122
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Fax |
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Provider Business Mailing Address
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Address Line | 15744 NE 11TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5322
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Country | US
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Telephone | 786-553-3122
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ESTHER ROSE MCCANT
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Credential | BS, CLC
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Telephone | 786-553-3122
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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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