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General NPI Number Information
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NPI Number | 1740805340
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Entity Type | Organization
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Legal Business Name | THE JOOSY DOULA, LLC.
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 4905 MARTIN FARMS DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-8429
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Country | US
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Telephone | 678-687-7864
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Fax |
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Provider Business Mailing Address
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Address Line | 4905 MARTIN FARMS DR
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City | POWDER SPRINGS
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State | GA
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Zip | 30127-8429
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Country | US
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Telephone | 678-687-7864
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | SHEREASE NICOLE LAWSON
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Credential | PCD,PCPD
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Telephone | 678-687-7864
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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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