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General NPI Number Information
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NPI Number | 1932089034
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Entity Type | Organization
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Legal Business Name | ELIEZER WILDFLOWER CARE LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 80 CACTUS ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-1355
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Country | US
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Telephone | 203-953-9003
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Fax |
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Provider Business Mailing Address
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Address Line | 80 CACTUS ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-1355
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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 | FULL SPECTRUM DOULA
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Name | JENNIFER ELIEZER
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Credential | CPD
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Telephone | 203-953-9003
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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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