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NPI 1770167918

NPI 1770167918 : JESSICA HOPP IBCLC : ORANGEVALE, CA

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General NPI Number Information
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    NPI Number           |    1770167918
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA HOPP IBCLC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/12/2021
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    Last Update Date     |    04/10/2024
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Provider Practice Location Address
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    Address Line         |    6228 FILBERT AVE STE 1 
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    City                 |    ORANGEVALE
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    State                |    CA
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    Zip                  |    95662-4106
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    Country              |    US
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    Telephone            |    916-827-5571
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    Fax                  |    916-827-0872
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Provider Business Mailing Address
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    Address Line         |    6430 WALNUT AVE 
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    City                 |    ORANGEVALE
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    State                |    CA
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    Zip                  |    95662-4228
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    Country              |    US
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    Telephone            |    530-919-7187
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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        |    374J00000X
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    Taxonomy Name        |    Doula
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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        |    174N00000X
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    Taxonomy Name        |    Lactation Consultant (Non-RN)
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    License Number       |    L-302737
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    License Number State |    
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