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Individual
TARA POLAND
Active
Individual
TARA POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD IBCLC
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
994881
—
174N00000X
Lactation Consultant (Non-RN)
L-313762
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
233652
DIETITIANS AND NUTRITIONISTS
AK
01
—
994881
COMMISSION OF DIETETIC REGISTRATION
—
01
—
DT80652
TEXAS DEPARTMENT OF LICENSING AND REGISTRATION
TX
01
—
L-313762
INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS
—
Enumeration date
01/16/2025
Last updated
01/16/2025
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