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General NPI Number Information
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NPI Number | 1902705270
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Entity Type | Organization
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Legal Business Name | LOOMA BIRTH
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Dates
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Enumeration Date | 11/03/2026
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Last Update Date | 11/03/2026
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Provider Practice Location Address
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Address Line | 3185 AIRWAY AVE STE E2
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City | COSTA MESA
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State | CA
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Zip | 92626-4601
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Country | US
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Telephone | 562-548-1383
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Fax |
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Provider Business Mailing Address
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Address Line | 6475 E PACIFIC COAST HWY # 194
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City | LONG BEACH
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State | CA
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Zip | 90803-4201
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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 | OWNER
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Name | ELIZABETH CLARK
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Credential |
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Telephone | 562-548-1383
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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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