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General NPI Number Information
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NPI Number | 1710767116
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Entity Type | Organization
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Legal Business Name | BB-PENDA
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 4014 AMY LN
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3612
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Country | US
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Telephone | 443-527-6559
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Fax |
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Provider Business Mailing Address
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Address Line | 4014 AMY LN
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-3612
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Country | US
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Telephone | 443-527-6559
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EFIA N DALILI
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Credential | CERTIFIED DOULA
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Telephone | 443-527-6559
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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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