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General NPI Number Information
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NPI Number | 1902611411
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Entity Type | Individual
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Provider Name | NATASHA LETTMAN IBCLC
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Gender | Female
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 5877 CENTRAL AVE STE B
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City | PORTAGE
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State | IN
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Zip | 46368-2967
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Country | US
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Telephone | 219-229-9330
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Fax |
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Provider Business Mailing Address
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Address Line | 2643 BODDINGTON LN
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City | NAPERVILLE
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State | IL
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Zip | 60564-9488
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Country | US
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Telephone | 630-340-0221
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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 | 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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