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General NPI Number Information
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NPI Number | 1700202777
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Entity Type | Organization
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Legal Business Name | ZOE ETKIN
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 10727 LAWLER ST APT 11
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City | LOS ANGELES
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State | CA
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Zip | 90034-5464
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Country | US
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Telephone | 901-336-4168
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Fax |
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Provider Business Mailing Address
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Address Line | 10727 LAWLER ST APT 11
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City | LOS ANGELES
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State | CA
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Zip | 90034-5464
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Country | US
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Telephone | 901-336-4168
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Fax |
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Authorized Official
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Title or Position | OWNER, DOULA
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Name | ZOE ETKIN
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Credential | CLD, CPD
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Telephone | 901-336-4168
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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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