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General NPI Number Information
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NPI Number | 1629782818
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Entity Type | Organization
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Legal Business Name | AGAPE MIDWIFERY AND WELLNESS LLC
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Dates
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Enumeration Date | 01/11/2023
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 2322 N INTERSTATE DR STE 2
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City | NORMAN
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State | OK
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Zip | 73072-2942
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Country | US
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Telephone | 405-819-4904
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Fax | 405-896-8741
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Provider Business Mailing Address
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Address Line | 1608 NORTHCREST DR
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City | NORMAN
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State | OK
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Zip | 73071-7415
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Country | US
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Telephone | 405-819-4904
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Fax | 405-896-8741
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE MARIE LUGRAND
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Credential | CLC, LCCE, ADVCD/PCD
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Telephone | 405-819-4904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number |
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License Number State |
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Taxonomy #4
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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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