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General NPI Number Information
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NPI Number | 1760258792
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Entity Type | Organization
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Legal Business Name | THE LACTATION NETWORK, LLC
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4530 S ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32839-1704
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Country | US
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Telephone | 888-510-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 1621 W CARROLL AVE
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City | CHICAGO
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State | IL
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Zip | 60612-2501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SEVERIN PRICE
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Credential |
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Telephone | 713-430-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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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 #6
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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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