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General NPI Number Information
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NPI Number | 1740995125
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Entity Type | Organization
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Legal Business Name | METRO DETROIT DOULA SERVICES
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Dates
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Enumeration Date | 01/19/2023
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 2476 MERCURY DR
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City | LAKE ORION
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State | MI
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Zip | 48360-1960
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Country | US
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Telephone | 248-453-4997
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 210994
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City | AUBURN HILLS
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State | MI
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Zip | 48321-0994
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Country | US
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Telephone | 586-960-5993
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ANDREA STAINBROOK
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Credential |
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Telephone | 248-453-4997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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