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General NPI Number Information
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NPI Number | 1558912808
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Entity Type | Organization
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Legal Business Name | AGAPE DOULAS LLC
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Dates
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Enumeration Date | 09/26/2019
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Last Update Date | 04/13/2023
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Provider Practice Location Address
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Address Line | 531 PADDOCK LN
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City | ORANGE PARK
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State | FL
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Zip | 32073-5824
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Country | US
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Telephone | 407-312-9888
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Fax |
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Provider Business Mailing Address
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Address Line | 531 PADDOCK LN
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City | ORANGE PARK
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State | FL
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Zip | 32073-5824
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Country | US
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Telephone | 407-312-9888
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Fax |
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Authorized Official
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Title or Position | CERTIFIED DOULA
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Name | NAOMI SONCAG
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Credential | CD, CPD, CBC, CBED,
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Telephone | 407-312-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #3
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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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