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General NPI Number Information
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NPI Number | 1922954866
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Entity Type | Organization
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Legal Business Name | ROSE MOON BIRTH SERVICES LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 122 N EDGEMONT ST APT B
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City | LOS ANGELES
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State | CA
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Zip | 90004-6234
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Country | US
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Telephone | 301-633-5623
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Fax |
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Provider Business Mailing Address
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Address Line | 122 N EDGEMONT ST APT B
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City | LOS ANGELES
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State | CA
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Zip | 90004-6234
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Country | US
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Telephone | 301-633-5623
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. KATHARINE WHETZEL
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Credential | IBCLC
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Telephone | 301-633-5623
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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Taxonomy #2
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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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