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General NPI Number Information
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NPI Number | 1710578448
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Entity Type | Organization
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Legal Business Name | LIQUID GOLD LACTATION LLC
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Dates
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Enumeration Date | 01/26/2021
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 19100 W LAKE HOUSTON PKWY STE 100
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City | HUMBLE
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State | TX
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Zip | 77346-5139
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Country | US
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Telephone | 281-626-8241
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Fax | 281-336-1664
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Provider Business Mailing Address
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Address Line | 19100 W LAKE HOUSTON PKWY STE 100
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City | HUMBLE
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State | TX
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Zip | 77346-5139
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Country | US
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Telephone | 281-626-8241
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Fax |
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Authorized Official
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Title or Position | IBCLC
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Name | JENNA BROWN SUNDQUIST
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Credential | M.ED, IBCLC
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Telephone | 281-626-8241
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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 | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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