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General NPI Number Information
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NPI Number | 1992649925
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Entity Type | Organization
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Legal Business Name | BIRTH BABY BOND LLC
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Dates
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Enumeration Date | 04/18/2026
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Last Update Date | 04/18/2026
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Provider Practice Location Address
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Address Line | 10426 SUGARBERRY ST
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City | WALDORF
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State | MD
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Zip | 20603-5732
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Country | US
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Telephone | 804-255-4893
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Fax |
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Provider Business Mailing Address
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Address Line | 10426 SUGARBERRY ST
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City | WALDORF
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State | MD
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Zip | 20603-5732
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LETEACE LEE
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Credential | RN-IBCLC
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Telephone | 804-255-4893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WM0102X
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Taxonomy Name | Maternal Newborn Registered Nurse
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License Number |
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License Number State |
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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 |
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License Number State |
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