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General NPI Number Information
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NPI Number | 1265977482
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Entity Type | Organization
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Legal Business Name | HOLISTIC BEGINNINGS, LLC
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Dates
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Enumeration Date | 12/24/2016
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Last Update Date | 12/24/2016
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Provider Practice Location Address
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Address Line | 8 EAGLE CTR STE 6
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City | O FALLON
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State | IL
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Zip | 62269-1963
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Country | US
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Telephone | 618-402-9481
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Fax |
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Provider Business Mailing Address
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Address Line | 8 EAGLE CTR STE 6
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City | O FALLON
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State | IL
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Zip | 62269-1963
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Country | US
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Telephone | 618-402-9481
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Fax |
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Authorized Official
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Title or Position | RN, IBCLC
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Name | MARGARET ROSE WINKELER
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Credential | RN, IBCLC
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Telephone | 618-402-9481
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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 | 041447772
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License Number State | IL
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