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General NPI Number Information
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NPI Number | 1659608735
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Entity Type | Individual
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Provider Name | ANGELA R WHATLEY RN CERT. LABOR DOULA
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Gender | Female
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Dates
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Enumeration Date | 11/10/2009
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Last Update Date | 07/13/2012
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Provider Practice Location Address
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Address Line | 200 W TYLER AVE
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-4223
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Country | US
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Telephone | 870-735-5527
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Fax |
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Provider Business Mailing Address
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Address Line | 12718 STATE HIGHWAY 118
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City | TYRONZA
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State | AR
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Zip | 72386-8984
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Country | US
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Telephone | 870-636-5231
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Fax | 870-735-5816
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | R41550
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License Number State | AR
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