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General NPI Number Information
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NPI Number | 1770287831
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Entity Type | Organization
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Legal Business Name | JAM FAMILY DOULA SERVICES
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 2741 LAURELCREST CV
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City | MEMPHIS
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State | TN
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Zip | 38133-8134
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Country | US
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Telephone | 770-680-8356
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 261
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City | CORDOVA
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State | TN
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Zip | 38088-0261
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Country | US
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Telephone | 770-680-8356
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Fax |
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Authorized Official
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Title or Position | DOULA
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Name | MRS. TWINETTE RAVENELL BROWN
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Credential | CPD, CBD, CBE, CBC
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Telephone | 770-680-8356
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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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