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General NPI Number Information
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NPI Number | 1801267166
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Entity Type | Organization
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Legal Business Name | SAN DIEGO HAPPY BABIES
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 01/06/2016
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Provider Practice Location Address
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Address Line | 55 FAIR DR
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City | COSTA MESA
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State | CA
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Zip | 92626-6520
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Country | US
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Telephone | 917-719-1307
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Fax |
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Provider Business Mailing Address
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Address Line | 55 FAIR DR
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City | COSTA MESA
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State | CA
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Zip | 92626-6520
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Country | US
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Telephone | 917-719-1307
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Fax |
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Authorized Official
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Title or Position | OWNER/POSTPARTUM DOULA
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Name | BETHANY KELLY
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Credential |
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Telephone | 917-719-1307
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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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