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General NPI Number Information
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NPI Number | 1669387643
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Entity Type | Organization
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Legal Business Name | LECHE AND MIMI LACTATION SERVICES, LLC
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Dates
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Enumeration Date | 08/15/2026
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Last Update Date | 08/15/2026
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Provider Practice Location Address
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Address Line | 8523 TIMBER WEST ST
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City | SAN ANTONIO
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State | TX
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Zip | 78250-4210
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Country | US
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Telephone | 210-379-8494
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Fax |
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Provider Business Mailing Address
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Address Line | 8523 TIMBER WEST ST
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City | SAN ANTONIO
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State | TX
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Zip | 78250-4210
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Country | US
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Telephone |
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Fax | 281-747-1408
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | DEBORAH MERCY PERSYN
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Credential | BSN, RN, IBCLC
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Telephone | 208-572-0565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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