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General NPI Number Information
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NPI Number | 1225544463
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Entity Type | Organization
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Legal Business Name | BREAST IS BEST
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 55 MOUNT VERNON LN
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City | PALM COAST
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State | FL
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Zip | 32164-8718
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Country | US
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Telephone | 910-273-1027
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Fax |
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Provider Business Mailing Address
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Address Line | 55 MOUNT VERNON LN
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City | PALM COAST
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State | FL
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Zip | 32164-8718
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Country | US
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Telephone | 910-273-1027
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHARON MARCIA
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Credential | M.S.,ARNP-BC,IBCLC
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Telephone | 910-495-6174
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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 | FL
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