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General NPI Number Information
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NPI Number | 1093360810
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Entity Type | Organization
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Legal Business Name | BABY EYES LACTATION CONSULTING LLC
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 5615 JUNIPER BEACH RD
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City | PROSPECT
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State | KY
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Zip | 40059-9684
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Country | US
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Telephone | 502-773-3965
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Fax | 502-443-0283
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Provider Business Mailing Address
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Address Line | 5615 JUNIPER BEACH RD
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City | PROSPECT
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State | KY
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Zip | 40059-9684
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Country | US
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Telephone | 502-773-3965
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Fax | 502-443-0283
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA GAIL AUBREY
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Credential | APRN, IBCLC
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Telephone | 502-773-3965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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