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General NPI Number Information
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NPI Number | 1649158494
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Entity Type | Organization
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Legal Business Name | UJIMA MATERNITY NETWORK INC.
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1845 MAIN DR
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City | FAYETTEVILLE
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State | AR
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Zip | 72704-5220
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Country | US
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Telephone | 501-358-6022
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Fax |
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Provider Business Mailing Address
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Address Line | 2104 HARKRIDER ST STE 104
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City | CONWAY
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State | AR
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Zip | 72032-2418
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Country | US
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Telephone | 501-358-6022
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND EXECUTIVE DIRECTOR
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Name | NICOLLE SHERRIE FLETCHER
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Credential | CLD, CLC
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Telephone | 501-499-1043
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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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