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General NPI Number Information
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NPI Number | 1265505820
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Entity Type | Organization
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Legal Business Name | LACTATION RESOURCES OF VT INC
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 123 S MENDON RD
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City | MENDON
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State | VT
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Zip | 05701-6531
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Country | US
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Telephone | 802-878-6181
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Fax | 802-419-4774
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Provider Business Mailing Address
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Address Line | 123 S MENDON RD
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City | MENDON
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State | VT
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Zip | 05701-6531
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Country | US
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Telephone | 802-878-6181
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Fax | 802-419-4774
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Authorized Official
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Title or Position | OWNER
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Name | LISA S KERNS
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Credential | IBCLC
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Telephone | 802-236-7946
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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