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General NPI Number Information
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NPI Number | 1740729466
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Entity Type | Organization
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Legal Business Name | NEST COLLABORATIVE NURSING AND LACTATION SERVICES , PC
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Dates
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Enumeration Date | 02/14/2017
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 822 GUILFORD AVE STE 1560
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City | BALTIMORE
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State | MD
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Zip | 21202-3707
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Country | US
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Telephone | 888-598-1554
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Fax | 844-364-2618
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Provider Business Mailing Address
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Address Line | 2299 SUMMER ST STE 1184
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City | STAMFORD
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State | CT
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Zip | 06905-4502
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Country | US
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Telephone | 888-598-1554
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Fax | 844-364-2618
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. KAITLYN ROBERTS
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Credential |
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Telephone | 75-363-6797
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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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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 214487
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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