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General NPI Number Information
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NPI Number | 1710784301
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Entity Type | Organization
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Legal Business Name | LACTATION LADIES LLC
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Dates
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Enumeration Date | 02/28/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 75 FRED WILLIAMS RD
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City | PERRY
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State | FL
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Zip | 32347-1127
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Country | US
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Telephone | 386-281-7685
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Fax | 386-382-4003
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Provider Business Mailing Address
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Address Line | 75 FRED WILLIAMS RD
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City | PERRY
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State | FL
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Zip | 32347-1127
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Country | US
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Telephone | 386-281-7685
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | TIFFANY SHIVER
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Credential |
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Telephone | 386-281-7685
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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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