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General NPI Number Information
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NPI Number | 1710851787
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Entity Type | Organization
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Legal Business Name | ANN ARBOR LACTATION
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Dates
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Enumeration Date | 10/02/2025
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 2300 WASHTENAW AVE STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48104-4500
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Country | US
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Telephone | 734-975-6534
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 WASHTENAW AVE STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48104-4500
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Country | US
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Telephone | 734-975-6534
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JESSICA BEEMSTERBOER
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Credential | IBCLC
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Telephone | 734-975-6534
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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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