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General NPI Number Information
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NPI Number | 1497980155
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Entity Type | Organization
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Legal Business Name | BREASTFEEDING RESOURCE CENTER OF MAIMI, INC
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 05/26/2009
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Provider Practice Location Address
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Address Line | 8955 SW 87TH CT SUITE 110
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City | MIAMI
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State | FL
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Zip | 33176-2230
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Country | US
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Telephone | 305-428-2880
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Fax | 305-428-2881
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Provider Business Mailing Address
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Address Line | 8955 SW 84 AVENUE SUITE 110
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-428-2880
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Fax | 305-428-2881
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. HEIDI CHRISTINA AGOSTINHO
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Credential | PH.D, IBCLC
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Telephone | 305-428-2880
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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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