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NPI Code Detail

MEDICARE: ERIN CARBAJAL MS, RDN, LD

MEDICARE: ERIN CARBAJAL MS, RDN, 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 DietitianOH

General Provider Information

NPI Number : 1922924588
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN CARBAJAL MS, RDN, LD
Provider Business Mailing Address
First Line : 2677 TAYLOR ST
Second Line :
City : WOOSTER
State : OH
Zip : 44691-1634
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1761 BEALL AVE
Second Line :
City : WOOSTER
State : OH
Zip : 44691-2342
Country : US
Telephone Number : 330-263-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2026
Last Update Date : 06/27/2026

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