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General NPI Number Information
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NPI Number | 1649155664
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Entity Type | Individual
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Provider Name | HAILEY ALLYSON THORNTON LPN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2025
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 3001 SANFORD PKWY
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-2700
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Country | US
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Telephone | 218-681-4747
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Fax | 218-683-2644
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Provider Business Mailing Address
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Address Line | 1014 OAKLAND PARK RD
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City | THIEF RIVER FALLS
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State | MN
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Zip | 56701-3912
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Country | US
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Telephone | 701-367-7929
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 817180
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | L-318932
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License Number State | MN
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