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General NPI Number Information
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NPI Number | 1154740595
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Entity Type | Organization
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Legal Business Name | THE MILK FAIRY
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Dates
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Enumeration Date | 04/14/2014
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Last Update Date | 04/14/2014
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Provider Practice Location Address
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Address Line | 2547 FRAYS MILL RD
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City | RUCKERSVILLE
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State | VA
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Zip | 22968-1612
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Country | US
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Telephone | 434-242-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 2547 FRAYS MILL RD
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City | RUCKERSVILLE
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State | VA
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Zip | 22968-1612
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Country | US
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Telephone | 434-242-7563
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Fax |
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Authorized Official
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Title or Position | LACTATION SPECIALIST
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Name | MS. CINDY POOTS REMINGTON
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Credential | CLC, CBS
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Telephone | 434-242-7563
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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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