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General NPI Number Information
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NPI Number | 1457208076
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Entity Type | Organization
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Legal Business Name | COLLEEN M HANLON IBCLC FNP LLC
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Dates
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Enumeration Date | 03/12/2026
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Last Update Date | 03/12/2026
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Provider Practice Location Address
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Address Line | 6 ROCKWELL PL
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City | MILTON
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State | MA
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Zip | 02186-5716
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Country | US
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Telephone | 617-939-9781
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Fax |
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Provider Business Mailing Address
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Address Line | 6 ROCKWELL PL
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City | MILTON
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State | MA
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Zip | 02186-5716
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Country | US
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Telephone | 617-939-9781
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. COLLEEN MARIE HANLON
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Credential | FNP, IBCLC
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Telephone | 617-939-9781
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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