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General NPI Number Information
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NPI Number | 1609673805
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Entity Type | Organization
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Legal Business Name | RADIANCE BIRTH COLLECTIVE LLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 25731 ARLINGTON DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 714-202-7213
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Fax |
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Provider Business Mailing Address
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Address Line | 30251 GOLDEN LANTRERN SUITE E #105
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 714-202-7213
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Fax |
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Authorized Official
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Title or Position | C0 CEO
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Name | MS. ROE REED STEWART
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Credential |
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Telephone | 714-202-7213
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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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