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General NPI Number Information
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NPI Number | 1972498566
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Entity Type | Organization
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Legal Business Name | NESTLED
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 609 BREWSTER ALY
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2487
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Country | US
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Telephone | 484-832-2515
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Fax | 484-401-7914
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Provider Business Mailing Address
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Address Line | 609 BREWSTER ALY
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-2487
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Country | US
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Telephone | 484-832-2515
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Fax | 484-401-7914
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Authorized Official
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Title or Position | CEO
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Name | ALISON AHERN
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Credential | NP, IBCLC
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Telephone | 484-832-2515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State | NULL
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Taxonomy #5
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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 | NULL
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Taxonomy #6
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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 | NULL
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