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General NPI Number Information
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NPI Number | 1346664737
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Entity Type | Organization
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Legal Business Name | OH BABY LLC
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 340 MINKUM RD
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City | GAFFNEY
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State | SC
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Zip | 29340-6133
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Country | US
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Telephone | 864-490-3697
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Fax |
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Provider Business Mailing Address
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Address Line | 340 MINKUM RD
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City | GAFFNEY
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State | SC
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Zip | 29340-6133
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Country | US
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Telephone | 864-490-3697
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GENA B HENDERSON
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Credential | RN, CCE, IBCLC
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Telephone | 864-490-3697
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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 | 205584
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License Number State | SC
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