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General NPI Number Information
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NPI Number | 1154161123
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE PUMPING IBCLC COMPANY
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 944 NEW MARKET ST APT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2306
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Country | US
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Telephone | 609-200-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 944 NEW MARKET ST APT 1
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City | PHILADELPHIA
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State | PA
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Zip | 19123-2306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | JULIANA TAYLOR
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Credential | BA, BSN, RN, IBCLC
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Telephone | 609-200-6802
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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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