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General NPI Number Information
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NPI Number | 1174999023
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Entity Type | Organization
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Legal Business Name | NATURAL CHOICE BIRTH & BREASTFEEDING, LLC
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Dates
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Enumeration Date | 08/14/2015
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 1329 WYNNTON RD
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City | COLUMBUS
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State | GA
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Zip | 31906-2919
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Country | US
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Telephone | 706-610-4332
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Fax | 706-221-6870
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Provider Business Mailing Address
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Address Line | 5028 MONTEGO DR
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City | COLUMBUS
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State | GA
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Zip | 31909-3423
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Country | US
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Telephone | 706-610-4332
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Fax | 706-221-6870
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Authorized Official
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Title or Position | OWENER/PROVIDER
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Name | DEBRA ANN MILLER
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Credential | RN, IBCLC
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Telephone | 706-610-4332
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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 | RN05842
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License Number State | GA
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