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General NPI Number Information
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NPI Number | 1174022651
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Entity Type | Organization
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Legal Business Name | NEW ORLEANS BREASTFEEDING CENTER LLC
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2601 N HULLEN ST STE 210B
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City | METAIRIE
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State | LA
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Zip | 70002-5973
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Country | US
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Telephone | 504-515-1243
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Fax | 504-648-1406
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Provider Business Mailing Address
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Address Line | PO BOX 851038
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City | NEW ORLEANS
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State | LA
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Zip | 70185-1038
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Country | US
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Telephone | 504-515-1243
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Fax | 504-648-1406
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Authorized Official
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Title or Position | COFOUNDER
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Name | LATONA T GIWA
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Credential | RN, BSN, IBCLC
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Telephone | 504-762-0210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP07023
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License Number State | LA
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