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General NPI Number Information
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NPI Number | 1497677850
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Entity Type | Organization
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Legal Business Name | BLOOMING MOTHER LACTATION LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 135 SCOTT RD
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City | YORK
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State | PA
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Zip | 17403-9569
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Country | US
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Telephone | 717-912-8848
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Fax |
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Provider Business Mailing Address
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Address Line | 135 SCOTT RD
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City | YORK
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State | PA
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Zip | 17403-9569
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Country | US
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Telephone | 717-912-8848
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KATHRYN KAVJIAN
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Credential | CLC
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Telephone | 484-619-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State |
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