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General NPI Number Information
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NPI Number | 1548979883
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Entity Type | Organization
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Legal Business Name | BIRTH AWAKENINGS LLC
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Dates
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Enumeration Date | 11/15/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 15 HILLSIDE AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-4316
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Country | US
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Telephone | 401-300-8988
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HILLSIDE AVE
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City | JOHNSTON
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State | RI
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Zip | 02919-4316
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Country | US
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Telephone | 401-300-8988
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Fax |
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Authorized Official
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Title or Position | MANAGER/ PERINATAL EDUCATOR
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Name | STEPHANIE CASSION
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Credential |
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Telephone | 401-300-8988
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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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