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General NPI Number Information
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NPI Number | 1275230583
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Entity Type | Organization
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Legal Business Name | BABY LATCH LOVE, LLC
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Dates
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Enumeration Date | 02/08/2023
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2753 SCENIC DR
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City | PLANO
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State | TX
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Zip | 75025-4155
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Country | US
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Telephone | 214-516-5355
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Fax |
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Provider Business Mailing Address
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Address Line | 8105 RASOR BVLD #261
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 214-516-5355
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY LICZBINSKI
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Credential | IBCLC
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Telephone | 469-225-3938
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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