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NPI 1134070071

NPI 1134070071 : SPRUCE LACTATION SERVICES : SAINT CLAIR, MI

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General NPI Number Information
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    NPI Number           |    1134070071
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    Entity Type          |    Organization 
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    Legal Business Name  |    SPRUCE LACTATION SERVICES 
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Dates
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    Enumeration Date     |    02/06/2026
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    Last Update Date     |    02/06/2026
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Provider Practice Location Address
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    Address Line         |    300 S RIVERSIDE AVE STE 104 
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    City                 |    SAINT CLAIR
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    State                |    MI
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    Zip                  |    48079-5386
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    Country              |    US
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    Telephone            |    810-660-8210
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    Fax                  |    231-396-8108
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Provider Business Mailing Address
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    Address Line         |    300 S RIVERSIDE AVE STE 104 
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    City                 |    SAINT CLAIR
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    State                |    MI
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    Zip                  |    48079-5386
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    Country              |    US
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    Telephone            |    810-660-8210
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    Fax                  |    231-396-8108
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRIANNA  PALLESCHI 
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    Credential           |    DC, IBCLC
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    Telephone            |    810-660-8210
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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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