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General NPI Number Information
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NPI Number | 1770164295
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Entity Type | Individual
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Provider Name | REBECCA GURON WHNP, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 10/17/2023
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Provider Practice Location Address
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Address Line | 3970 LA COLINA RD STE 2
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City | SANTA BARBARA
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State | CA
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Zip | 93110-4502
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Country | US
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Telephone | 805-680-6768
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Fax |
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Provider Business Mailing Address
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Address Line | 9 E PUEBLO ST
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City | SANTA BARBARA
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State | CA
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Zip | 93105-3533
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Country | US
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Telephone | 805-680-6768
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number | 95144789
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-303052
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95020074
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License Number State | CA
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