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General NPI Number Information
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NPI Number | 1013374230
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Entity Type | Individual
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Provider Name | CYNTHIA LAFFERTY RN,BS,IBCLC
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Gender | Female
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Dates
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Enumeration Date | 01/19/2016
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 21120 E STIRRUP ST
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6524
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Country | US
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Telephone | 717-991-5306
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Fax |
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Provider Business Mailing Address
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Address Line | 21120 E STIRRUP ST
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-6524
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Country | US
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Telephone | 717-991-5306
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Fax |
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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 | 11145322
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License Number State | PA
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