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General NPI Number Information
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NPI Number | 1003394628
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Entity Type | Individual
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Provider Name | MICHELLE ALGEO CULLEN RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 1029 WEST COUNTY LINE ROAD
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City | WARMINSTER
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State | PA
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Zip | 18974
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Country | US
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Telephone | 267-377-5221
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Fax |
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Provider Business Mailing Address
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Address Line | 8 HICKORY DR
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City | HORSHAM
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State | PA
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Zip | 19044-1926
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | DN006455
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86067914
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License Number State |
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