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General NPI Number Information
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NPI Number | 1508120593
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Entity Type | Organization
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Legal Business Name | BREASTFEEDING SUPPORT, INC.
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Dates
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Enumeration Date | 06/25/2012
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Last Update Date | 06/25/2012
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Provider Practice Location Address
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Address Line | 311 W 95TH ST APT. 2C
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City | NEW YORK
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State | NY
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Zip | 10025-6103
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Country | US
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Telephone | 917-620-4068
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Fax |
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Provider Business Mailing Address
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Address Line | 311 W 95TH ST APT. 2C
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City | NEW YORK
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State | NY
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Zip | 10025-6103
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Country | US
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Telephone | 917-620-4068
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT
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Name | MS. AYELET KAZNELSON
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Credential | CLC, IBCLC
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Telephone | 917-620-4068
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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 | 10420788
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License Number State | NY
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