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NPI 1639034671

NPI 1639034671 : LOVEMAMADOULA LLC : ORANGE, CT

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General NPI Number Information
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    NPI Number           |    1639034671
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    Entity Type          |    Organization 
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    Legal Business Name  |    LOVEMAMADOULA LLC 
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Dates
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    Enumeration Date     |    12/22/2025
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    Last Update Date     |    12/22/2025
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Provider Practice Location Address
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    Address Line         |    284 RACEBROOK RD STE 210 
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    City                 |    ORANGE
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    State                |    CT
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    Zip                  |    06477-3103
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    Country              |    US
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    Telephone            |    203-909-6179
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    284 RACEBROOK RD STE 210 
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    City                 |    ORANGE
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    State                |    CT
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    Zip                  |    06477-3103
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    Country              |    US
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    Telephone            |    203-909-6179
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOULA
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    Name                 |     MAY L JOSEPH 
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    Credential           |    
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    Telephone            |    203-909-6179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QC1500X
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    Taxonomy Name        |    Community Health Clinic/Center
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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        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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