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NPI 1396333860

NPI 1396333860 : MATERNAL MASSAGE AND MORE INC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1396333860
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    Entity Type          |    Organization 
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    Legal Business Name  |    MATERNAL MASSAGE AND MORE INC 
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Dates
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    Enumeration Date     |    01/09/2021
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    Last Update Date     |    01/09/2021
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Provider Practice Location Address
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    Address Line         |    636 BROADWAY STE 1105 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10012-2609
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    Country              |    US
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    Telephone            |    917-385-8820
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    162 16TH ST APT 2C 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11215-8710
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    Country              |    US
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    Telephone            |    917-385-8820
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JANET  MARKOVITS 
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    Credential           |    IBCLC
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    Telephone            |    917-385-8820
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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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