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General NPI Number Information
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NPI Number | 1558186874
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Entity Type | Individual
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Provider Name | JENNIFER K VAN VORHIS DOULA
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Gender | Female
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 407 S STEARNS AVE
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City | DESHLER
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State | OH
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Zip | 43516-1320
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Country | US
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Telephone | 419-278-7640
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 915
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City | LUCKEY
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State | OH
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Zip | 43443-0915
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Country | US
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Telephone | 419-575-6251
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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 |
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