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General NPI Number Information
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NPI Number | 1629530092
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Entity Type | Individual
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Provider Name | SARAH MARGARET ESTILL MAS, RD, LD, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/03/2019
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 120 E REYNOLDS RD STE 3
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City | LEXINGTON
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State | KY
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Zip | 40517-1251
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Country | US
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Telephone | 859-287-2996
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Fax | 859-407-4724
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Provider Business Mailing Address
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Address Line | 120 E REYNOLDS RD STE 3
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City | LEXINGTON
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State | KY
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Zip | 40517-1251
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Country | US
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Telephone | 859-287-2996
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 245913
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License Number State | KY
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