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General NPI Number Information
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NPI Number | 1730940768
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Entity Type | Individual
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Provider Name | BLANCA CONTRERAS DOULA
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 3398 EVENING STAR CIRCLE
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City | CORONA
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State | CA
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Zip | 92881
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Country | US
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Telephone | 909-313-4419
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Fax |
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Provider Business Mailing Address
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Address Line | 2621 GREEN RIVER RD SUITE 105 #2070
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City | CORONA
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State | CA
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Zip | 92882-7454
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Country | US
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Telephone | 909-313-4419
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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 |
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License Number State | CA
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