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General NPI Number Information
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NPI Number | 1720851132
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Entity Type | Organization
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Legal Business Name | LJS ENTERPRISES LLC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 3000 N 14TH ST STE 3A
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City | BISMARCK
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State | ND
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Zip | 58503-0697
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Country | US
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Telephone | 701-202-8423
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Fax |
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Provider Business Mailing Address
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Address Line | 403 LAREDO DR
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City | BISMARCK
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State | ND
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Zip | 58504-7212
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Country | US
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Telephone | 701-581-4504
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BECKY J KUSS
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Credential | MSN RN IBCLC
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Telephone | 701-581-4504
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WW0101X
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Taxonomy Name | Ambulatory Women's Health Care Registered Nurse
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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 #5
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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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