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General NPI Number Information
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NPI Number | 1487163341
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Entity Type | Individual
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Provider Name | KIANA PATRICE AYERS LACTATION CONSULTANT
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Gender | Female
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Dates
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Enumeration Date | 09/23/2017
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Last Update Date | 09/23/2017
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Provider Practice Location Address
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Address Line | 1740 WINDING WOODS LN
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City | JONESBORO
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State | GA
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Zip | 30236-3300
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Country | US
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Telephone | 678-815-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 MOUNT ZION RD STE 200
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City | MORROW
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State | GA
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Zip | 30260-3313
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Country | US
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Telephone | 678-815-6201
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Fax | 678-846-5039
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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 | RN156524
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License Number State | GA
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