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NPI Code Detail

MEDICARE: JULIANNE K BATTISTELLI RD, LDN

MEDICARE: JULIANNE K BATTISTELLI RD, LDN
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 DietitianDN000156PA

General Provider Information

NPI Number : 1528122629
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIANNE K BATTISTELLI RD, LDN
Provider Business Mailing Address
First Line : 475 N WEABER ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1104
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-4981
Provider Business Practice Location Address
First Line : 475 N WEABER ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1104
Country : US
Telephone Number : 717-867-4671
Fax Number : 717-867-4981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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