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General NPI Number Information
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NPI Number | 1730073859
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Entity Type | Individual
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Provider Name | JAMIE LE-ANN GOEBEL BSN RN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 2054 S GREEN RD
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City | SOUTH EUCLID
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State | OH
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Zip | 44121-4213
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Country | US
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Telephone | 216-291-9210
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Fax |
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Provider Business Mailing Address
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Address Line | 3068 DORIL DR
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City | AUSTINBURG
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State | OH
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Zip | 44010-8602
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Country | US
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Telephone | 440-812-0159
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN.326188
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License Number State | OH
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