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General NPI Number Information
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NPI Number | 1811343460
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Entity Type | Organization
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Legal Business Name | MILK AND HONEY FEEDING AND SPEECH SERVICES, LLC
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 05/12/2016
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Provider Practice Location Address
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Address Line | 3844 E PIMA ST
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City | TUCSON
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State | AZ
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Zip | 85716-3308
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Country | US
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Telephone | 520-477-7752
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Fax |
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Provider Business Mailing Address
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Address Line | 3844 E PIMA ST
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City | TUCSON
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State | AZ
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Zip | 85716-3308
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Country | US
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Telephone | 520-477-7752
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | NINA ISAAC
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Credential | MS CCC-SLP IBCLC
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Telephone | 520-477-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | AZ
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Taxonomy #2
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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 | AZ
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