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General NPI Number Information
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NPI Number | 1598639593
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Entity Type | Organization
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Legal Business Name | THE DANDELION DOULA, LLC
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 141 WASHINGTON ST
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City | NORWELL
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State | MA
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Zip | 02061-1779
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Country | US
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Telephone | 781-413-5707
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Fax |
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Provider Business Mailing Address
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Address Line | 196 PLYMOUTH ST
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City | HALIFAX
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State | MA
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Zip | 02338-1418
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Country | US
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Telephone | 781-413-5707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTHA SHANAHAN
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Credential | LMHC
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Telephone | 781-413-5707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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