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General NPI Number Information
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NPI Number | 1083572481
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Entity Type | Organization
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Legal Business Name | TEXOMA LACTATION SERVICES, LLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2102 HAYES ST
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City | WICHITA FALLS
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State | TX
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Zip | 76309-3818
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Country | US
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Telephone | 940-217-6108
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Fax | 844-972-1555
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Provider Business Mailing Address
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Address Line | 2102 HAYES ST
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City | WICHITA FALLS
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State | TX
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Zip | 76309-3818
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Country | US
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Telephone | 940-217-6108
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Fax | 844-972-1555
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Authorized Official
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Title or Position | OWNER
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Name | WILLI PATRICE GUTIERREZ
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Credential | RN, BSN, IBCLC
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Telephone | 940-217-6108
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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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