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General NPI Number Information
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NPI Number | 1437956281
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Entity Type | Individual
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Provider Name | SHERRI RENEE TAYLOR-MARSICO BSN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2960 N CIRCLE DR STE 100
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City | COLORADO SPRINGS
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State | CO
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Zip | 80909-1163
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Country | US
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Telephone | 719-741-6113
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Fax |
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Provider Business Mailing Address
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Address Line | 18065 RED ROCKS DR
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City | MONUMENT
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State | CO
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Zip | 80132-8262
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Country | US
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Telephone | 719-237-4698
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Fax |
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-66063
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License Number State | CO
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