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General NPI Number Information
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NPI Number | 1952190811
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Entity Type | Individual
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Provider Name | MEGHAN IMBALZANO BSN, RN, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 120 WELLINGTON DR
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City | ROARING BROOK TWP
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State | PA
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Zip | 18444-9552
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Country | US
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Telephone | 570-479-4158
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Fax |
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Provider Business Mailing Address
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Address Line | 322 ROUTE 46 STE 230E
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City | PARSIPPANY
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State | NJ
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Zip | 07054-2352
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Country | US
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Telephone | 973-952-6455
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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 | L-312658
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN783380
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License Number State | PA
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