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General NPI Number Information
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NPI Number | 1104559103
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Entity Type | Organization
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Legal Business Name | MOMMY'S OWN MILK LLC
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Dates
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Enumeration Date | 07/06/2022
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 7401 WILES RD STE 322
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2036
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Country | US
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Telephone | 954-507-7686
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Fax |
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Provider Business Mailing Address
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Address Line | 7401 WILES RD STE 322
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-2036
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Country | US
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Telephone | 954-507-7686
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | NEENA PATEL
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Credential |
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Telephone | 954-531-9825
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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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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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