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General NPI Number Information
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NPI Number | 1477763589
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Entity Type | Organization
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Legal Business Name | LACTATION INSTITUTE
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 568 N GREENCRAIG RD
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City | LOS ANGELES
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State | CA
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Zip | 90049-2842
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Country | US
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Telephone | 310-476-1404
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Fax | 310-476-1404
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Provider Business Mailing Address
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Address Line | 3441 CLAIRTON PL
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City | ENCINO
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State | CA
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Zip | 91436-4137
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Country | US
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Telephone | 818-995-7442
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Fax | 818-995-0634
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ELLEN P SHELL
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Credential | IBCLC
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Telephone | 818-995-7442
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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