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General NPI Number Information
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NPI Number | 1013350792
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Entity Type | Individual
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Provider Name | ELIZABETH PINARD MS, RD, CDN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 04/11/2013
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Provider Practice Location Address
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Address Line | 22 CORTLANDT ST SUITE 1632
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City | NEW YORK
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State | NY
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Zip | 10007-3107
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Country | US
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Telephone | 347-809-1854
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Fax |
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Provider Business Mailing Address
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Address Line | 504 E 79TH ST APT 5F
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City | NEW YORK
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State | NY
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Zip | 10075-1528
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Country | US
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Telephone | 215-888-8666
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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 | 007207
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License Number State | NY
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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 | 1055635
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License Number State | NY
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