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General NPI Number Information
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NPI Number | 1962389791
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Entity Type | Organization
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Legal Business Name | GIFTED HANDS DOULA SERVICES INC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 4455 S DR MARTIN L KING JR DR
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City | CHICAGO
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State | IL
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Zip | 60653-3310
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Country | US
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Telephone | 219-208-4586
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 W TAYLOR ST # 2782
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City | CHICAGO
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State | IL
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Zip | 60607-4623
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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 | EXECUTIVE DIRECTOR
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Name | SHANA R PHILLIPS
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Credential | LPN, C.D.
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Telephone | 708-674-8339
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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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