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General NPI Number Information
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NPI Number | 1912842865
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Entity Type | Individual
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Provider Name | BETHANY K FESSENDEN LMT, DOULA
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Gender | Female
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 28350 COUNTY ROAD 317 UNIT 9
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City | BUENA VISTA
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State | CO
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Zip | 81211-9261
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Country | US
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Telephone | 719-626-1045
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Fax |
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Provider Business Mailing Address
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Address Line | 224 W RAINBOW BLVD PMB 257
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City | SALIDA
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State | CO
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Zip | 81201-2347
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Country | US
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Telephone | 419-306-8866
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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 |
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License Number State |
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