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General NPI Number Information
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NPI Number | 1669395893
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Entity Type | Organization
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Legal Business Name | GRACE & GROWTH LACTATION
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 40 E BACON ST
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City | HILLSDALE
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State | MI
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Zip | 49242-1636
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Country | US
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Telephone | 517-398-4839
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Fax |
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Provider Business Mailing Address
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Address Line | 3499 SAND LAKE RD
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City | READING
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State | MI
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Zip | 49274-8801
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Country | US
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Telephone | 517-398-4839
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT
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Name | STEPHANIE KOPPEL
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Credential | IBCLC
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Telephone | 517-398-4839
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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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