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General NPI Number Information
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NPI Number | 1902769524
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Entity Type | Organization
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Legal Business Name | SHOBAR PERINATAL
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Dates
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Enumeration Date | 12/09/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 12 LUBEC ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1618
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Country | US
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Telephone | 410-608-6154
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Fax |
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Provider Business Mailing Address
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Address Line | 12 LUBEC ST
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City | PROVIDENCE
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State | RI
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Zip | 02904-1618
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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 | PREETILATA HASHEMI
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Credential |
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Telephone | 410-608-6154
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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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