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General NPI Number Information
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NPI Number | 1457885774
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Entity Type | Individual
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Provider Name | PORTIA DESIREE BARTON RN, IBCLC, BSN
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Gender | Female
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 530 N MAIN ST SECOND FLOOR, 267
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City | PROVIDENCE
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State | RI
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Zip | 02904-5762
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Country | US
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Telephone | 401-228-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 901 MAIN ST
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City | EAST GREENWICH
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State | RI
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Zip | 02818-3116
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Country | US
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Telephone | 401-487-8619
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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 | LLC00096
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN57151
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License Number State | RI
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