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General NPI Number Information
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NPI Number | 1558739391
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Entity Type | Individual
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Provider Name | ALISON SPATH CD(DONA), IBCLC
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Gender | Female
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Dates
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Enumeration Date | 09/10/2015
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Last Update Date | 09/17/2019
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Provider Practice Location Address
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Address Line | 681 N WINTON RD
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City | ROCHESTER
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State | NY
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Zip | 14609-7856
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Country | US
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Telephone | 585-451-9968
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Fax |
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Provider Business Mailing Address
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Address Line | 65 ELMDORF AVE
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City | ROCHESTER
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State | NY
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Zip | 14619-1817
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Country | US
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Telephone | 585-451-9968
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 226681
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number | 10734
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License Number State | IL
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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 | L-126886
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License Number State |
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