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General NPI Number Information
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NPI Number | 1760328769
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Entity Type | Organization
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Legal Business Name | I AM 1112
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 5901 W CENTURY BLVD SUIT 750
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City | LOS ANGELES
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State | CA
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Zip | 90045
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Country | US
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Telephone | 323-545-0557
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Fax |
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Provider Business Mailing Address
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Address Line | 8939 S SEPULVEDA BLVD STE 110
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City | LOS ANGELES
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State | CA
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Zip | 90045-3632
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Country | US
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Telephone | 323-545-0557
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RHONDA GREGORY BRENT
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Credential |
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Telephone | 323-228-1658
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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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