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General NPI Number Information
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NPI Number | 1881551026
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Entity Type | Organization
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Legal Business Name | OPAL BIRTH COLLECTIVE
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Dates
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Enumeration Date | 01/08/2026
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Last Update Date | 01/08/2026
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Provider Practice Location Address
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Address Line | 3010 ROBERT S. CRAIN HIGHWAY 101 B-1
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City | WALDORF
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State | MD
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Zip | 20601-2959
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Country | US
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Telephone | 240-471-7711
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Fax |
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Provider Business Mailing Address
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Address Line | 2957 FESTIVAL WAY #1103 SUITE 123
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City | WALDORF
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State | MD
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Zip | 20601-2959
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Country | US
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Telephone | 240-471-7711
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | KHORI TORRENCE
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Credential | CD-L,CD-PIC,CBE,
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Telephone | 240-471-7711
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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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