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General NPI Number Information
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NPI Number | 1740787944
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Entity Type | Organization
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Legal Business Name | LACTATION CONSULTANT BILLING
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 34 HILL RD
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City | GREENWICH
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State | CT
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Zip | 06830-4043
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Country | US
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Telephone | 323-595-4006
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Fax | 310-872-1533
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Provider Business Mailing Address
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Address Line | 34 HILL RD
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City | GREENWICH
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State | CT
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Zip | 06830-4043
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Country | US
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Telephone | 323-595-4006
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Fax | 310-872-1533
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Authorized Official
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Title or Position | PRESIDENT
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Name | NICOLE PELUSO
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Credential | IBCLC
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Telephone | 323-595-4006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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