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General NPI Number Information
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NPI Number | 1609442599
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Entity Type | Organization
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Legal Business Name | WISCO LACTATION LLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | 530 N 108TH PL STE 203
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City | WAUWATOSA
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State | WI
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Zip | 53226-4253
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Country | US
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Telephone | 414-249-4420
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Fax |
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Provider Business Mailing Address
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Address Line | 530 N 108TH PL STE 203
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City | WAUWATOSA
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State | WI
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Zip | 53226-4253
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Country | US
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Telephone | 414-249-4420
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ASHLEIGH RICHMOND
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Credential |
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Telephone | 262-909-2371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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