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NPI 1750107751

NPI 1750107751 : POPPY FERRER : BELLEVILLE, IL

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General NPI Number Information
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    NPI Number           |    1750107751
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    Entity Type          |    Individual 
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    Provider Name        |    POPPY FERRER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/25/2024
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    Last Update Date     |    12/03/2025
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Provider Practice Location Address
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    Address Line         |    249 EGRET CT 
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    City                 |    BELLEVILLE
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    State                |    IL
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    Zip                  |    62223-3258
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    Country              |    US
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    Telephone            |    618-541-4043
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    249 EGRET CT 
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    City                 |    BELLEVILLE
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    State                |    IL
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    Zip                  |    62223-3258
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    Country              |    US
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    Telephone            |    618-541-4043
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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 |    
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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       |    0203251307
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    License Number State |    IL
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