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General NPI Number Information
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NPI Number | 1548180615
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Entity Type | Organization
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Legal Business Name | COSTA CONSULTATION LLC
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 65 KENT ST
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City | QUINCY
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State | MA
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Zip | 02169-6490
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Country | US
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Telephone | 617-302-6963
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Fax |
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Provider Business Mailing Address
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Address Line | 65 KENT ST
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City | QUINCY
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State | MA
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Zip | 02169-6490
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Country | US
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Telephone | 617-302-6963
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYLEE COSTA
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Credential | IBCLC, PMH-C
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Telephone | 617-302-6963
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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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