Basic Information
Provider Information
NPI: 1821598046
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHOPLER
FirstName: ELEANOR
MiddleName: JORDAN
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: WOMEN'S BIRTH & WELLNESS CENTER
Address2: 930 MARTIN LUTHER KING JR. BLVD., STE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Practice Location
Address1: WOMEN'S BIRTH & WELLNESS CENTER
Address2: 930 MARTIN LUTHER KING JR. BLVD., STE 202
City: CHAPEL HILL
State: NC
PostalCode: 275142656
CountryCode: US
TelephoneNumber: 9199333301
FaxNumber: 9199333375
Other Information
ProviderEnumerationDate: 02/14/2018
LastUpdateDate: 02/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WL0100XL-26372NCY Nursing Service ProvidersRegistered NurseLactation Consultant

No ID Information.


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