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General NPI Number Information
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NPI Number | 1710639737
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Entity Type | Individual
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Provider Name | MICHELLE ANDREA LUDWIG CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 01/20/2022
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Last Update Date | 01/20/2022
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Provider Practice Location Address
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Address Line | 10401 N 32ND ST STE A
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City | PHOENIX
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State | AZ
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Zip | 85028-3850
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Country | US
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Telephone | 720-409-8977
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Fax |
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Provider Business Mailing Address
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Address Line | 10401 N 32ND ST STE A
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City | PHOENIX
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State | AZ
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Zip | 85028-3850
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Country | US
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Telephone | 720-409-8977
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Fax |
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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 | 11435
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License Number State |
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