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General NPI Number Information
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NPI Number | 1336961093
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Entity Type | Individual
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Provider Name | THERESA LASBREY PETERS
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Gender | Female
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 127 W 127TH ST FL 3
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City | NEW YORK
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State | NY
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Zip | 10027-3723
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Country | US
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Telephone | 646-425-5936
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Fax |
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Provider Business Mailing Address
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Address Line | 941 MCLEAN AVE # 385
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City | YONKERS
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State | NY
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Zip | 10704-4107
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Country | US
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Telephone | 646-801-4322
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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