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General NPI Number Information
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NPI Number | 1801717780
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Entity Type | Organization
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Legal Business Name | MOORE 2 LOVE DOULA SERVICES
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Dates
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Enumeration Date | 07/24/2026
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Last Update Date | 07/24/2026
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Provider Practice Location Address
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Address Line | 1815 LAFAYETTE AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-2533
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Country | US
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Telephone | 616-258-6474
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 LAFAYETTE AVE SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49507-2533
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DOULA/OWNER
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Name | LYANNA R MOORE
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Credential | CD, CLS
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Telephone | 313-663-1833
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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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