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General NPI Number Information
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NPI Number | 1932962933
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Entity Type | Organization
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Legal Business Name | BOULDER LACTATION CLINIC LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 5277 MANHATTAN CIR STE 230
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City | BOULDER
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State | CO
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Zip | 80303-8201
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Country | US
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Telephone | 720-843-5671
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Fax |
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Provider Business Mailing Address
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Address Line | 5277 MANHATTAN CIR STE 230
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City | BOULDER
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State | CO
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Zip | 80303-8231
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Country | US
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Telephone | 720-843-5671
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER MEDICAL DIRECTOR
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Name | DR. LAUREN KARCHER
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Credential | DNP, FNP-BC, IBCLC
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Telephone | 720-843-5671
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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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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