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General NPI Number Information
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NPI Number | 1083417562
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Entity Type | Organization
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Legal Business Name | MILK IN MOTION
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 8245 BOONE BLVD STE 630
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City | VIENNA
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State | VA
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Zip | 22182-3894
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Country | US
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Telephone | 703-372-9711
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 CONCORDIA ST
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City | FAIRFAX
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State | VA
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Zip | 22032-3409
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Country | US
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Telephone | 661-202-7545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LACI TANG
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Credential |
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Telephone | 661-202-7545
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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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