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General NPI Number Information
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NPI Number | 1558722215
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Entity Type | Organization
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Legal Business Name | BREASTFEED ATLANTA, LLC
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 11/06/2024
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Provider Practice Location Address
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Address Line | 5885 GLENRIDGE DR STE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5573
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Country | US
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Telephone | 404-454-9715
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Fax | 404-393-3739
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Provider Business Mailing Address
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Address Line | 5885 GLENRIDGE DR STE 200
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City | ATLANTA
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State | GA
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Zip | 30328-5573
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Country | US
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Telephone | 404-454-9715
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Fax | 404-393-3739
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTIE WARD COURSEY
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Credential | IBCLC
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Telephone | 404-454-9715
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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