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General NPI Number Information
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NPI Number | 1891684668
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Entity Type | Organization
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Legal Business Name | THE MAMA COACH - EMILY GILBERT, LLC
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Dates
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Enumeration Date | 06/28/2025
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 314 PAANI PL
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City | PAIA
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State | HI
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Zip | 96779-9703
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Country | US
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Telephone | 808-446-4466
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Fax |
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Provider Business Mailing Address
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Address Line | 61-718 PAPAILOA RD
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City | HALEIWA
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State | HI
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Zip | 96712-1302
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY GILBERT
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Credential | RN, IBCLC
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Telephone | 770-696-8858
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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 |
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License Number State |
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