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General NPI Number Information
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NPI Number | 1407524606
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Entity Type | Individual
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Provider Name | KELLY PAMELA HAWES LM, CPM, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 311 FOREST AVE STE B7
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-3368
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Country | US
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Telephone | 831-402-8500
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Fax | 831-288-1523
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Provider Business Mailing Address
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Address Line | 311 FOREST AVE STE B7
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City | PACIFIC GROVE
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State | CA
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Zip | 93950-3368
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Country | US
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Telephone | 831-402-8500
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Fax | 831-288-1523
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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 | L-316061
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License Number State |
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 658
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License Number State | CA
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