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NPI Code Detail

MEDICARE: PEP TALK NUTRITION LLC

MEDICARE: PEP TALK NUTRITION LLC
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 Dietitian

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11558058669OTHEROHNPPES

General Provider Information

NPI Number : 1720768039
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEP TALK NUTRITION LLC
Provider Business Mailing Address
First Line : 5725 DRAGON WAY STE 222
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-4519
Country : US
Telephone Number : 513-379-1456
Fax Number :
Provider Business Practice Location Address
First Line : 5725 DRAGON WAY STE 222
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-4519
Country : US
Telephone Number : 513-379-1456
Fax Number :
Authorized Official
Title or Position : DIETITAIN
Name : MARGARET HUEY
Credential : RD, LD
Telephone Number : 614-545-8827
Provider Enumeration Date : 07/20/2023
Last Update Date : 07/20/2023

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Directions to “PEP TALK NUTRITION LLC ” Practice Location

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