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General NPI Number Information
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NPI Number | 1609712546
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Entity Type | Organization
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Legal Business Name | LACTATION STATION & MORE
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Dates
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Enumeration Date | 04/24/2026
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Last Update Date | 04/24/2026
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Provider Practice Location Address
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Address Line | 1907 VARNER ST STE C2
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City | SUMMERVILLE
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State | SC
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Zip | 29486-8104
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Country | US
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Telephone | 843-922-9427
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Fax | 854-800-7702
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Provider Business Mailing Address
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Address Line | 1907 VARNER ST STE C2
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City | SUMMERVILLE
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State | SC
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Zip | 29486-8104
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Country | US
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Telephone | 843-922-9427
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Fax | 854-800-7702
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Authorized Official
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Title or Position | OWNER
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Name | SARAH GLENN
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Credential | IBCLC, CD, CBE, PMH-
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Telephone | 570-350-7327
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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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