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General NPI Number Information
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NPI Number | 1710861018
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Entity Type | Organization
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Legal Business Name | BREASTFEEDING CLINIC & RESEARCH CENTER
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 50 SALEM ST STE B
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City | THOMASVILLE
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State | NC
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Zip | 27360-3937
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Country | US
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Telephone | 336-989-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 7495 FOX CHASE DR
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City | TRINITY
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State | NC
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Zip | 27370-7778
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Country | US
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Telephone | 336-989-5300
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. LISA MILLER
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Credential | D.HSC, IBCLC
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Telephone | 336-989-5300
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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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