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General NPI Number Information
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NPI Number | 1831865781
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Entity Type | Organization
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Legal Business Name | FLOURISH FEEDING BABIES LLC
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Dates
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Enumeration Date | 08/20/2021
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Last Update Date | 08/20/2021
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Provider Practice Location Address
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Address Line | 33 DORANNE LN
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-3177
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Country | US
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Telephone | 732-338-9019
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Fax | 732-608-8442
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Provider Business Mailing Address
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Address Line | 33 DORANNE LN
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City | MIDDLETOWN
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State | NJ
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Zip | 07748-3177
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Country | US
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Telephone | 732-338-9019
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Fax | 732-608-8442
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Authorized Official
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Title or Position | IBCLC/OWNER
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Name | ALICEA A SABELLA
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Credential | IBCLC
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Telephone | 732-338-9019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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