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General NPI Number Information
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NPI Number | 1598691354
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Entity Type | Organization
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Legal Business Name | A MOTHER'S VILLAGE
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Dates
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Enumeration Date | 06/19/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 527 W WABASH AVE
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City | EUREKA
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State | CA
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Zip | 95501-2827
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Country | US
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Telephone | 707-633-3143
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Fax |
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Provider Business Mailing Address
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Address Line | 1836 OLD ARCATA RD UNIT 165
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City | BAYSIDE
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State | CA
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Zip | 95524-2204
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Country | US
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Telephone | 707-633-3143
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MISTY DICKERSON
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Credential |
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Telephone | 707-633-3143
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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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