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General NPI Number Information
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NPI Number | 1154138329
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Entity Type | Organization
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Legal Business Name | JULIE CHAMPEAU LLC
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Dates
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Enumeration Date | 12/11/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 959 HALL PL NW
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City | ATLANTA
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State | GA
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Zip | 30318-4963
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Country | US
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Telephone | 863-255-3293
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Fax |
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Provider Business Mailing Address
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Address Line | 959 HALL PL NW
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City | ATLANTA
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State | GA
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Zip | 30318-4963
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Country | US
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Telephone | 863-255-3293
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT/OWNER
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Name | JULIE ELIZABETH CHAMPEAU
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Credential | MOT, OTR/L, IBCLC
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Telephone | 863-255-3293
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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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