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General NPI Number Information
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NPI Number | 1659238186
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Entity Type | Organization
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Legal Business Name | QC DOULA CONNECT
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Dates
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Enumeration Date | 01/07/2026
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 2010 E 38TH ST STE 201B
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City | DAVENPORT
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State | IA
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Zip | 52807-1179
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Country | US
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Telephone | 563-200-1846
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 WALNUT ST
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City | BUFFALO
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State | IA
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Zip | 52728-7794
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Country | US
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Telephone | 563-320-4698
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Fax |
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Authorized Official
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Title or Position | OWNER, DOULA, LACTATION COUNSELOR
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Name | MRS. MCKENZIE CORNILSEN
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Credential | CLC, SBD, CBS
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Telephone | 563-320-4698
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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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