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General NPI Number Information
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NPI Number | 1013890508
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Entity Type | Organization
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Legal Business Name | VILLAGE LACTATION
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 3926 GALLATIN PIKE STE A
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City | NASHVILLE
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State | TN
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Zip | 37216-2436
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Country | US
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Telephone | 615-200-6136
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 JONES ST
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City | OLD HICKORY
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State | TN
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Zip | 37138-2935
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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 | OWNER
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Name | SARA HUDDLESTON
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Credential | BA, IBCLC
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Telephone | 615-200-6136
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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 |
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License Number State |
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