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General NPI Number Information
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NPI Number | 1740057199
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Entity Type | Organization
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Legal Business Name | SAM DEL TORO LLC
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Dates
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Enumeration Date | 12/06/2023
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 2375 CHAMPIONS BLVD STE 2
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City | AUBURN
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State | AL
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Zip | 36830-6471
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Country | US
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Telephone | 334-745-6447
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Fax |
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Provider Business Mailing Address
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Address Line | 1544 TALHIEM ST
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City | AUBURN
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State | AL
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Zip | 36832-6512
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Country | US
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Telephone | 205-542-4301
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Fax |
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Authorized Official
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Title or Position | RN, IBCLC
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Name | MRS. SAMANTHA CLAIR DEL TORO
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Credential | RN, IBCLC
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Telephone | 205-542-4301
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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 |
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License Number State |
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