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General NPI Number Information
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NPI Number | 1437032729
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Entity Type | Organization
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Legal Business Name | LONE STAR LACTATION
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Dates
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Enumeration Date | 07/26/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 252 S ELM ST
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City | KELLER
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State | TX
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Zip | 76248-2257
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Country | US
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Telephone | 817-793-1748
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Fax |
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Provider Business Mailing Address
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Address Line | 14517 MEADOWLAND CIR
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City | NEWARK
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State | TX
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Zip | 76071-9103
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Country | US
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Telephone | 817-793-1748
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MELANIE VAN NOY
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Credential | MS, CCC-SLP, IBCLC
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Telephone | 817-793-1748
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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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Taxonomy #2
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Taxonomy Code | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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