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General NPI Number Information
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NPI Number | 1619768629
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Entity Type | Organization
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Legal Business Name | DOULA TE-RUK LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 8216 CASSIDY CIR
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City | RIVERSIDE
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State | CA
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Zip | 92509-7123
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Country | US
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Telephone | 619-522-4995
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Fax |
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Provider Business Mailing Address
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Address Line | 8216 CASSIDY CIR
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City | RIVERSIDE
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State | CA
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Zip | 92509-7123
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Country | US
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Telephone | 619-522-4995
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SOUNISRA REID
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Credential |
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Telephone | 909-359-3169
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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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