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General NPI Number Information
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NPI Number | 1083970552
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Entity Type | Individual
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Provider Name | ANITA MARIE KRAJECKI RNC-LRN, BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/09/2012
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Last Update Date | 04/09/2012
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Provider Practice Location Address
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Address Line | 4043 STATE RT. 59 ABC MOMS, INC
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-299-4909
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Fax |
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Provider Business Mailing Address
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Address Line | 2091 PRIMROSE LN
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City | NAPERVILLE
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State | IL
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Zip | 60565-2872
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Country | US
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Telephone | 630-416-8478
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | 041158806
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License Number State | IL
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