MEDICARE: ANGELA DOBBINS CD, PCD, ICCE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula	600554071	WA

General Provider Information

NPI Number	:	1437481058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA DOBBINS CD, PCD, ICCE

Provider Business Mailing Address
First Line	:	10554 14TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98168-1610
Country	:	US
Telephone Number	:	206-898-9793
Fax Number	:

Provider Business Practice Location Address
First Line	:	10554 14TH AVE S
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98168-1610
Country	:	US
Telephone Number	:	206-898-9793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2010
Last Update Date	:	02/07/2010

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