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General NPI Number Information
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NPI Number | 1003733742
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Entity Type | Individual
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Provider Name | KATHERINE DANIELLE MCDANIEL IBCLC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2026
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Last Update Date | 07/02/2026
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Provider Practice Location Address
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Address Line | 109 ENTERPRISE CT
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City | COLUMBUS
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State | GA
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Zip | 31904-3090
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Country | US
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Telephone | 706-576-5773
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Fax | 706-323-4247
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Provider Business Mailing Address
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Address Line | 22 LEE ROAD 979
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City | PHENIX CITY
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State | AL
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Zip | 36870-7978
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Country | US
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Telephone | 706-576-5773
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Fax | 706-323-4247
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | L-323400
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License Number State |
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