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General NPI Number Information
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NPI Number | 1952278582
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Entity Type | Organization
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Legal Business Name | LACI JONES LACTATION
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 1124 8TH ST N
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City | MOORHEAD
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State | MN
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Zip | 56560-1504
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Country | US
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Telephone | 701-335-6050
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Fax | 701-781-8057
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Provider Business Mailing Address
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Address Line | 1124 8TH ST N
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City | MOORHEAD
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State | MN
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Zip | 56560-1504
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Country | US
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Telephone | 701-335-6050
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Fax | 701-781-8057
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Authorized Official
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Title or Position | OWNER
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Name | LACI JONES
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Credential | RN, IBCLC
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Telephone | 701-335-6050
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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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