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General NPI Number Information
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NPI Number | 1356953798
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Entity Type | Organization
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Legal Business Name | LIVING HOPE LACTATION SERVICES
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 910 NORTH GOODMAN STREET STE 1
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City | ROCHESTER
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State | NY
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Zip | 14609-1460
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Country | US
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Telephone | 585-738-2507
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Fax | 585-673-7260
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Provider Business Mailing Address
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Address Line | 62 WILLMONT ST
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City | ROCHESTER
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State | NY
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Zip | 14609-3620
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Country | US
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Telephone | 585-738-2507
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Fax | 585-673-7260
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Authorized Official
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Title or Position | LACTATION COUNSELOR
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Name | SHARON ANN REILLY
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Credential | RN BSN IBCLC
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Telephone | 585-738-2507
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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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