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General NPI Number Information
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NPI Number | 1700564424
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Entity Type | Organization
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Legal Business Name | BLOOMING BABIES LACTATION CO. LLC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 6020 ERIN PARK DR STE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918
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Country | US
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Telephone | 719-602-5749
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Fax | 719-691-7014
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Provider Business Mailing Address
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Address Line | 6020 ERIN PARK DR STE A
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918
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Country | US
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Telephone | 719-602-5749
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Fax | 719-691-7014
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Authorized Official
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Title or Position | OWNER/CEO
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Name | DR. ASHLEY ANNE VRCIC
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Credential | DC, IBCLC
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Telephone | 719-602-5749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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