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General NPI Number Information
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NPI Number | 1679127815
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Entity Type | Organization
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Legal Business Name | DOULAS LATINAS INTERNATIONAL
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 620 NW 8TH ST
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City | GRESHAM
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State | OR
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Zip | 97030-6935
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Country | US
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Telephone | 503-901-6285
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Fax |
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Provider Business Mailing Address
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Address Line | 620 NW 8TH ST
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City | GRESHAM
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State | OR
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Zip | 97030-6935
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Country | US
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Telephone | 503-901-6285
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SANDRA HELENA HERNANDES
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Credential |
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Telephone | 503-901-6285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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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 | 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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