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General NPI Number Information
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NPI Number | 1689442634
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Entity Type | Organization
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Legal Business Name | MINDFUL MATERNITY SERVICES WITH ANDREA, LLC
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 3903 W 182ND ST APT 1
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City | TORRANCE
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State | CA
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Zip | 90504-4849
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Country | US
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Telephone | 703-795-8566
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Fax |
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Provider Business Mailing Address
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Address Line | 3903 W 182ND ST APT 1
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City | TORRANCE
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State | CA
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Zip | 90504-4849
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Country | US
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Telephone | 703-795-8566
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Fax |
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Authorized Official
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Title or Position | CERTIFIED DOULA AND WELLNESS COACH
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Name | ANDREA ROSALES
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Credential | MPH, CD
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Telephone | 703-795-8566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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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