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NPI Code Detail

MEDICARE: SONAL ANTANI HILL RD, LD

MEDICARE:   SONAL ANTANI HILL  RD, LD
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 Dietitian4904OH

General Provider Information

NPI Number : 1548337231
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONAL ANTANI HILL RD, LD
Provider Business Mailing Address
First Line : PO BOX 636256 CENTRAL CREDENTIALING
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6256
Country : US
Telephone Number : 513-585-5506
Fax Number : 513-585-5511
Provider Business Practice Location Address
First Line : 7798 DISCOVERY DR
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-7745
Country : US
Telephone Number : 513-939-4579
Fax Number : 513-874-4579
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 02/26/2018

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Directions to “ SONAL ANTANI HILL RD, LD” Practice Location

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