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General NPI Number Information
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NPI Number | 1598604076
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Entity Type | Organization
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Legal Business Name | A SACRED BEGINNING DOULA LLC.
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Dates
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Enumeration Date | 03/27/2026
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Last Update Date | 03/27/2026
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Provider Practice Location Address
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Address Line | 5415 OLIVEWOOD AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-1329
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Country | US
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Telephone | 951-453-4248
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Fax |
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Provider Business Mailing Address
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Address Line | 5415 OLIVEWOOD AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-1329
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Country | US
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Telephone | 951-453-4248
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Fax |
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Authorized Official
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Title or Position | DOULA CEO
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Name | LAUREN NICOLE PANCUCCI
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Credential |
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Telephone | 951-453-4248
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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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