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General NPI Number Information
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NPI Number | 1023930526
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Entity Type | Organization
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Legal Business Name | MILK FAIRY LACTATION LLC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 5731 LYONS VIEW PIKE STE 110
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City | KNOXVILLE
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State | TN
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Zip | 37919-6400
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Country | US
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Telephone | 865-234-0199
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Fax |
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Provider Business Mailing Address
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Address Line | 1430 KENTON WAY
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City | KNOXVILLE
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State | TN
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Zip | 37922-8505
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Country | US
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Telephone | 865-234-0199
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SARAH DAVIS
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Credential | IBCLC, RN
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Telephone | 865-234-0199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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