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General NPI Number Information
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NPI Number | 1912677337
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Entity Type | Organization
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Legal Business Name | ETTA'S EMBRACE LLC
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 2950 VAN NESS ST NW APT 601
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City | WASHINGTON
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State | DC
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Zip | 20008-1116
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Country | US
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Telephone | 443-584-3617
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 VAN NESS ST NW APT 601
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City | WASHINGTON
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State | DC
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Zip | 20008-1116
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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
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Name | ESTHANETTE REID
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Credential |
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Telephone | 443-584-3517
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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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