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General NPI Number Information
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NPI Number | 1730765801
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Entity Type | Organization
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Legal Business Name | JADES NATIVITY
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 550 LEWIS ST
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City | SOMERSET
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State | NJ
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Zip | 08873-3663
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Country | US
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Telephone | 732-249-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 873 HAMILTON ST STE 137
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City | SOMERSET
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State | NJ
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Zip | 08873-3140
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Country | US
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Telephone | 732-247-5233
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ARISA SAWYER
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Credential |
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Telephone | 732-247-5233
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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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