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General NPI Number Information
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NPI Number | 1093504342
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Entity Type | Organization
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Legal Business Name | RIVER VALLEY LACTATION LLC
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Dates
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Enumeration Date | 05/03/2025
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 1927 35TH AVE
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City | OSCEOLA
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State | WI
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Zip | 54020-5600
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Country | US
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Telephone | 715-497-3593
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Fax |
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Provider Business Mailing Address
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Address Line | 1927 35TH AVE
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City | OSCEOLA
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State | WI
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Zip | 54020-5600
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Country | US
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Telephone | 715-497-3593
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT
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Name | KAYLI JO SCHOUNARD
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Credential | IBCLC
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Telephone | 715-497-3593
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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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