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General NPI Number Information
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NPI Number | 1134928245
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Entity Type | Organization
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Legal Business Name | BAEWO CORP
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 200 RIVERSIDE BLVD APT 25E
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City | NEW YORK
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State | NY
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Zip | 10069-0904
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Country | US
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Telephone | 917-415-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 200 RIVERSIDE BLVD APT 25E
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City | NEW YORK
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State | NY
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Zip | 10069-0904
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Country | US
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Telephone | 917-415-3399
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Fax |
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Authorized Official
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Title or Position | COFOUNDER
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Name | MR. SUK PARK
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Credential |
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Telephone | 917-415-3399
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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