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General NPI Number Information
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NPI Number | 1790158871
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Entity Type | Individual
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Provider Name | JULIE ZUCK RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 11/11/2015
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Last Update Date | 11/11/2015
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Provider Practice Location Address
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Address Line | 1029 FAIRHILL TER
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City | SPRING VALLEY
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State | CA
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Zip | 91977-6540
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Country | US
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Telephone | 360-643-3172
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Fax |
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Provider Business Mailing Address
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Address Line | 1029 FAIRHILL TER
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City | SPRING VALLEY
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State | CA
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Zip | 91977-6540
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Country | US
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Telephone | 360-643-3172
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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 | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | L-84078
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License Number State | CA
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