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General NPI Number Information
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NPI Number | 1205165412
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Entity Type | Individual
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Provider Name | TERESA COYLE-AIREY IBCLC, CD(DONA)
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Gender | Female
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 241 MAIN ST
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City | TOWNSEND
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State | MA
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Zip | 01469-1398
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Country | US
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Telephone | 978-833-8240
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Fax |
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Provider Business Mailing Address
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Address Line | 301 RINDGE TPKE
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City | ASHBURNHAM
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State | MA
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Zip | 01430-1134
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Country | US
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Telephone | 978-833-8240
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 5892
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-302621
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License Number State | MA
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