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General NPI Number Information
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NPI Number | 1386038511
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Entity Type | Organization
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Legal Business Name | BREASTFEEDING ALLIANCE INC
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 521 DELP RD
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City | SOUDERTON
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State | PA
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Zip | 18964-2147
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Country | US
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Telephone | 610-584-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 521 DELP RD
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City | SOUDERTON
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State | PA
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Zip | 18964-2147
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Country | US
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Telephone | 610-584-6111
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUDITH ANN CROUTHAMEL
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Credential | RN, IBCLC
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Telephone | 610-584-6111
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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 | RN264895L
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License Number State | PA
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