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General NPI Number Information
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NPI Number | 1912790700
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Entity Type | Organization
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Legal Business Name | NURTURE NEW LIFE, LLC
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Dates
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Enumeration Date | 05/26/2025
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 1551 NW 195TH ST UNIT 13
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City | SHORELINE
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State | WA
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Zip | 98177-2841
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Country | US
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Telephone | 206-920-3084
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Fax | 206-299-0935
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Provider Business Mailing Address
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Address Line | 1551 NW 195TH ST UNIT 13
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City | SHORELINE
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State | WA
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Zip | 98177-2841
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Country | US
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Telephone | 206-920-3084
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Fax | 206-299-0935
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE FENNER
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Credential | IBCLC
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Telephone | 206-920-3084
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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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