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General NPI Number Information
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NPI Number | 1265999544
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Entity Type | Organization
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Legal Business Name | OH BABY LACTATION CARE
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 02/22/2019
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Provider Practice Location Address
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Address Line | 10 COMMERCE ST STE A
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City | GLASTONBURY
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State | CT
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Zip | 06033-4802
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Country | US
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Telephone | 860-212-5440
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Fax |
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Provider Business Mailing Address
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Address Line | 218 BULL HILL RD
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City | COLCHESTER
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State | CT
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Zip | 06415-2626
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Country | US
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Telephone | 860-212-5440
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Fax |
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Authorized Official
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Title or Position | OWNER OPERATOR
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Name | MRS. LORI ATKINS
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Credential | RN, IBCLC
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Telephone | 860-212-5440
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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 |
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