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NPI Code Detail

MEDICARE: JULIE WEST

MEDICARE: JULIE WEST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian37000434AIN

General Provider Information

NPI Number : 1437517083
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE WEST
Provider Business Mailing Address
First Line : 2520 EAST DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1675
Country : US
Telephone Number : 260-416-3263
Fax Number :
Provider Business Practice Location Address
First Line : 2520 EAST DUPONT RD
Second Line :
City : FORT WAYNE
State : IN
Zip : 46825-1675
Country : US
Telephone Number : 260-416-3263
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2016
Last Update Date : 02/10/2016

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Directions to “ JULIE WEST ” Practice Location

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