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General NPI Number Information
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NPI Number | 1093199523
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Entity Type | Organization
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Legal Business Name | LACTATION SPECIALIST OF HOUSTON, LLC
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Dates
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Enumeration Date | 07/14/2015
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Last Update Date | 01/20/2016
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Provider Practice Location Address
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Address Line | 22203 SPRING CROSSING DR
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City | SPRING
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State | TX
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Zip | 77373-5068
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Country | US
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Telephone | 832-938-0083
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Fax |
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Provider Business Mailing Address
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Address Line | 22203 SPRING CROSSING DR
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City | SPRING
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State | TX
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Zip | 77373-5068
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Country | US
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Telephone | 832-938-0083
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Fax |
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Authorized Official
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Title or Position | OWNER / FOUNDER
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Name | MRS. APRILLE D MCQUEEN
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Credential | MSN, RN
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Telephone | 832-938-0083
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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 | 11027221
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 11116611
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License Number State | TX
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