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General NPI Number Information
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NPI Number | 1942071220
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Entity Type | Organization
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Legal Business Name | BLOOMING BABIES
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 53 RAILROAD ST UNIT 1
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City | RICHMOND
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State | VT
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Zip | 05477-7749
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Country | US
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Telephone | 802-488-5153
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Fax |
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Provider Business Mailing Address
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Address Line | 34 BLAIR PARK ROAD SUITE 104, #299
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City | WILLISTON
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State | VT
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Zip | 05495
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Country | US
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Telephone | 802-488-5153
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ALICE M NORRIS
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Credential | RN, IBCLC
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Telephone | 802-488-5153
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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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