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General NPI Number Information
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NPI Number | 1730090085
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Entity Type | Organization
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Legal Business Name | SONGBIRD LACTATION LLC
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Dates
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Enumeration Date | 09/15/2026
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Last Update Date | 09/15/2026
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Provider Practice Location Address
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Address Line | 1613 FIVE FORKS RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4321
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Country | US
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Telephone | 757-276-3241
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Fax |
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Provider Business Mailing Address
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Address Line | 1613 FIVE FORKS RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-4321
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Country | US
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Telephone | 757-276-3241
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Fax |
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Authorized Official
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Title or Position | OWNER/COUNSELOR
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Name | EMILY E PEDEN
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Credential | CBS, CLC
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Telephone | 757-276-3241
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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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