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General NPI Number Information
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NPI Number | 1457240012
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Entity Type | Organization
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Legal Business Name | SWEET NECTAR LACTATION & INFANT FEEDING SUPPORT, LLC
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 2 GOLF CLUB CIR
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City | STATESBORO
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State | GA
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Zip | 30458-9160
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Country | US
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Telephone | 912-420-4770
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Fax | 912-205-2856
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Provider Business Mailing Address
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Address Line | 2 GOLF CLUB CIR
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City | STATESBORO
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State | GA
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Zip | 30458-9160
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Country | US
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Telephone | 912-420-4770
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Fax | 912-205-2856
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Authorized Official
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Title or Position | OWNER
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Name | SARAH T KENT
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Credential | IBCLC
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Telephone | 912-420-4770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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