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General NPI Number Information
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NPI Number | 1992176705
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Entity Type | Organization
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Legal Business Name | JILLIAN HATCH, LACTATION CONSULTANT
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 10/19/2015
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Provider Practice Location Address
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Address Line | 2245 CAMBRIDGE RD
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City | BROOMALL
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State | PA
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Zip | 19008-2904
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Country | US
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Telephone | 610-733-6789
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Fax |
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Provider Business Mailing Address
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Address Line | 2245 CAMBRIDGE RD
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City | BROOMALL
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State | PA
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Zip | 19008-2904
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Country | US
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Telephone | 610-733-6789
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Fax |
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Authorized Official
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Title or Position | RNC-OB, IBCLC
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Name | MRS. JILLIAN HATCH
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Credential | RNC-OB, IBCLC
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Telephone | 610-733-6789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 11211430
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License Number State | PA
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