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General NPI Number Information
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NPI Number | 1679162762
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Entity Type | Organization
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Legal Business Name | TRUDOULAS OF NJ
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/26/2021
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Provider Practice Location Address
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Address Line | 407 W STATE ST
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City | TRENTON
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State | NJ
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Zip | 08618-5664
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Country | US
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Telephone | 609-542-0577
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Fax |
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Provider Business Mailing Address
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Address Line | 153 ABERNETHY DR
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City | TRENTON
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State | NJ
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Zip | 08618-4919
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CD
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Name | DONEISHA CAMPBELL
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Credential | CD
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Telephone | 609-424-6514
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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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