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NPI 1902415946

NPI 1902415946 : PAMELA M THIGPEN CD(DONA) : WILMINGTON, NC

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General NPI Number Information
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    NPI Number           |    1902415946
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    Entity Type          |    Individual 
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    Provider Name        |    PAMELA M THIGPEN CD(DONA)
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/27/2020
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    Last Update Date     |    07/27/2020
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Provider Practice Location Address
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    Address Line         |    8607 SHIPWATCH DR 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28412-3535
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    Country              |    US
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    Telephone            |    910-232-8930
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8607 SHIPWATCH DR 
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    City                 |    WILMINGTON
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    State                |    NC
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    Zip                  |    28412-3535
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    Country              |    US
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    Telephone            |    910-232-8930
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    13882
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    License Number State |    
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