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General NPI Number Information
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NPI Number | 1730023722
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Entity Type | Organization
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Legal Business Name | DOGWOOD DOULA BIRTH SERVICES LLC
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 709 HAY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5423
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Country | US
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Telephone | 915-630-4948
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Fax |
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Provider Business Mailing Address
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Address Line | 709 HAY ST
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-5423
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Country | US
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Telephone | 915-630-4948
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | PHYLLIS HERBE
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Credential | CLD
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Telephone | 915-630-4948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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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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