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General NPI Number Information
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NPI Number | 1609599240
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Entity Type | Organization
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Legal Business Name | EARTHLY DOULA & NANNY SERVICES
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 100 NW 170TH ST STE 101
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5510
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Country | US
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Telephone | 954-232-1133
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Fax |
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Provider Business Mailing Address
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Address Line | 100 NW 170TH ST STE 101
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-5510
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Country | US
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Telephone | 954-232-1133
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIEULENE JEANLOUIS
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Credential |
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Telephone | 954-232-1133
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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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